Please find below a list of our older paper forms, in case you are unable to complete your form online.
please also complete the following forms
and bring them to your first session:
Therapist Disclosure of Information Forms
Please click on the corresponding provider:
- Rebecca Brooks
- Jason Frishman
- Zachary Galkin
- David Ganapol
- Diane Gottlieb
- Jessica Horner
- Kathy Keating
- Megan Kiernan
- Marcy Milton
- Krista Reincke
- Scott Ward
- Shana Witkin
(for example, your psychiatrist, another program, primary care
physician, etc.), please complete this form to authorize the release
of psychotherapy information:
Note: To download Adobe Acrobat Reader for free,
click here
.