Paperwork Instructions

  • Please use your legally given name and not your nickname.
  • Make sure that the pages are printed one sided and that the page does not run over to the next. This packet has been designed to have each page fit.
  • Please sign all documents.
  • Fill in and sign the Release of Information page if you want/need me to speak with anyone outside of your family and/or Non-Custodial relatives. Print multiple forms if needed.
  • If you have any questions about the content of the paperwork, please address these with me during our initial appointment.
  • Bring your insurance card with you on the day of the appointment.

 New Client Paperwork for Adults:

Please download, complete paperwork and bring them with you to your first appointment to make the best use of our time together!

Admission packet for ADULT

New Client Packet for Children:

Please download and complete the new client paperwork before your child’s first appointment to make the most of our first meeting together:

Admission packet for CHILD



1905 J N Pease Pl #101
Charlotte, NC 28262

1905 JN Pease Pl,
Suite 204
Charlotte, NC 28262

Mikal Sklaroff, LPC

Mikal Sklaroff, LPC

About Me:


Therapy starts with finding someone who matches your personality and developing a relationship with an individual that you can trust. I believe in learning about who you are, the complete picture, and helping you define and achieve the goals that are important to you. No judgment, just a safe place to work through things.

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