Jacob Center for Evidence-Based Treatment Marni L. Jacob, Ph.D., ABPP - Licensed Psychologist
  • Welcome
  • Our Team
    • Marni L. Jacob, Ph.D., ABPP
    • Jamie Sherman, Ph.D.
    • D. Luis Ordaz, Ph.D.
    • Brianna Allen, Psy.D.
  • Specialties
    • Obsessive-Compulsive Disorder
    • Anxiety Disorders & Phobias >
      • Generalized Anxiety Disorder
      • Social Anxiety
      • Separation Anxiety
      • Agoraphobia
      • Panic Disorder
      • Selective Mutism
      • Specific Phobias
    • PANS/PANDAS
    • Tic Disorders
    • Trichotillomania
    • Body Dysmorphic Disorder
    • Hoarding
    • Skin-picking
    • Behavior Problems & Parent Training
    • Depression
  • Services
    • Individual Therapy
    • Intensive Treatment
    • Group Therapy
    • Consultation, Workshops, & Trainings
  • Publications
  • Resources
  • FAQs
  • Contact
  • Patient Portal

Patient Portal
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Patient Portal
Please click the above button to access your patient portal.

Current Patients: If you need to request a new link, go to the Patient Portal, click "I'm an Existing Client" > enter your email address > click Continue, and you will immediately receive an email with a one-time use link that brings you directly into the Patient Portal. As a security measure, links expire after 24-hours, but you can easily request a new link at any time. Please feel free to contact us if you have any questions. You can also use your patient portal to communicate with your clinician via secure messaging.​

New Patients: Our practice has a secure, HIPAA-compliant online portal where new patient forms are completed electronically. If you scheduled a new patient appointment, you should have received an email from our practice management system, with a link to access your patient portal. ​If you have not yet received this portal link, please check your SPAM folder. You can also go the Patient Portal and enter in your email address to be sent a new link. If you still have difficulty, contact us to confirm your email address. Once you are an established patient, you can also use your patient portal to communicate with your clinician via secure messaging.​
​​Alternatively, you may print the new patient forms from below, complete them by hand, and scan/upload them to your patient portal, or bring them to your initial intake appointment. Forms completed by hand can also be faxed to us at (561) 705-0895, if preferred.
* Please complete your new patient forms at least 48-hours prior to your initial appointment, to allow ample time for us to review your information.

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​The following forms are to be completed prior to the first appointment. Other forms will be completed as needed.
- New Patient Form (Either Child or Adult)
- Informed Consent & Outpatient Services Contract
​- Acknowledgement of Notice of Privacy Practices

New Child Patient Form
New Adult Patient Form
Notice of Privacy Practices (Read Only)
Release of Information
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Providing Evidence-Based Treatment for Obsessive-Compulsive Disorder (OCD), Tourette's Disorder/Tics, Trichotillomania, Body Dysmorphic Disorder (BDD), Hoarding, Skin Picking/Excoriation Disorder, Anxiety Disorders, and Phobias. Boca Raton office is easily accessible from Palm Beach County & South Florida (Jupiter, Palm Beach Gardens, West Palm Beach, Lake Worth, Boynton Beach, Delray Beach, Boca Raton, Lighthouse Point, Deerfield Beach, Pompano Beach, Ft. Lauderdale, and Miami).


​Copyright © 2015-2022 Marni L. Jacob, Ph.D., LLC
Jacob Center for Evidence-Based Treatment
7900 Glades Road, Suite 615, Boca Raton, FL 33434
(561) 290-9080

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  • Welcome
  • Our Team
    • Marni L. Jacob, Ph.D., ABPP
    • Jamie Sherman, Ph.D.
    • D. Luis Ordaz, Ph.D.
    • Brianna Allen, Psy.D.
  • Specialties
    • Obsessive-Compulsive Disorder
    • Anxiety Disorders & Phobias >
      • Generalized Anxiety Disorder
      • Social Anxiety
      • Separation Anxiety
      • Agoraphobia
      • Panic Disorder
      • Selective Mutism
      • Specific Phobias
    • PANS/PANDAS
    • Tic Disorders
    • Trichotillomania
    • Body Dysmorphic Disorder
    • Hoarding
    • Skin-picking
    • Behavior Problems & Parent Training
    • Depression
  • Services
    • Individual Therapy
    • Intensive Treatment
    • Group Therapy
    • Consultation, Workshops, & Trainings
  • Publications
  • Resources
  • FAQs
  • Contact
  • Patient Portal