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"Today You Have The Power To Change Your Story And We Are Here To Help You"

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Breakthroughs of North Florida
  • Home
  • About Us
    • Our Staff
      • Marty Edwards
      • KiAnna Spivey
      • Megan Atwood
      • Linda Gurt
      • Nicole Galassi
      • Sara Susen
      • Dawn Glisson
      • Theresa Stover
      • Erin Tyre
      • Caitlin Mitchell
  • Counseling
    • Marty Edwards
    • Megan Atwood
    • Linda Gurt
    • Nicole Galassi
    • Theresa Stover
    • Premarital Counseling
  • Programs
    • SAT/ACT PREP
    • HOMESCHOOL SUPPORT
    • P.R.O.V.E. Program
    • LINDAMOOD-BELL®
      • Visualizing Verbalizing®
      • Seeing Stars®
      • On Cloud 9®
      • LiPS®
      • Talkies®
    • LOVE AND LOGIC®
  • Tutoring
  • Forms
  • Reviews
  • Insurance
  • Employees Only
  • Contact Us
    • Like Us on Facebook
Breakthroughs of North Florida
  • Home
  • About Us
    • Our Staff
      • Marty Edwards
      • KiAnna Spivey
      • Megan Atwood
      • Linda Gurt
      • Nicole Galassi
      • Sara Susen
      • Dawn Glisson
      • Theresa Stover
      • Erin Tyre
      • Caitlin Mitchell
  • Counseling
    • Marty Edwards
    • Megan Atwood
    • Linda Gurt
    • Nicole Galassi
    • Theresa Stover
    • Premarital Counseling
  • Programs
    • SAT/ACT PREP
    • HOMESCHOOL SUPPORT
    • P.R.O.V.E. Program
    • LINDAMOOD-BELL®
      • Visualizing Verbalizing®
      • Seeing Stars®
      • On Cloud 9®
      • LiPS®
      • Talkies®
    • LOVE AND LOGIC®
  • Tutoring
  • Forms
  • Reviews
  • Insurance
  • Employees Only
  • Contact Us
    • Like Us on Facebook
  • More
    • Home
    • About Us
      • Our Staff
        • Marty Edwards
        • KiAnna Spivey
        • Megan Atwood
        • Linda Gurt
        • Nicole Galassi
        • Sara Susen
        • Dawn Glisson
        • Theresa Stover
        • Erin Tyre
        • Caitlin Mitchell
    • Counseling
      • Marty Edwards
      • Megan Atwood
      • Linda Gurt
      • Nicole Galassi
      • Theresa Stover
      • Premarital Counseling
    • Programs
      • SAT/ACT PREP
      • HOMESCHOOL SUPPORT
      • P.R.O.V.E. Program
      • LINDAMOOD-BELL®
        • Visualizing Verbalizing®
        • Seeing Stars®
        • On Cloud 9®
        • LiPS®
        • Talkies®
      • LOVE AND LOGIC®
    • Tutoring
    • Forms
    • Reviews
    • Insurance
    • Employees Only
    • Contact Us
      • Like Us on Facebook

Forms

Online Forms To Be Completed And Submitted Prior To Appointments

Counseling Intake Forms

Adult Intake Form

Couples Intake Form

Adolescent Intake Form

Child Intake Form

Premarital Intake Form

Tutoring Intake Form

Tutoring Intake Form

SAT/ACT Prep Course Intake Form

SAT/ACT Prep Course Form

Occupational Therapy Case History Form

Occupational Therapy Case History Form

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Ask us about our non-profit or visit our website:

www.missionbreakthroughs.org

Now Accepting United Healthcare, Tricare, Aetna & Cigna Insurance for Counseling Clients Only.

BREAKTHROUGHS IS AN APPROVED PROVIDER FOR THE STEP UP FOR STUDENTS SCHOLARSHIP

904-849-1190

87003 Professional Way ~ Yulee, Florida 32097 ~ office@breakthroughsnf.com

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