HELPFUL FORMS 

If you're a new client, please complete the following forms and bring them to your first session.  You may be able to open and complete the child and adolescent history form online.  However, it is recommended that you save the completed form and print out a hard copy to bring with you to the first appointment.  If you have trouble completing the form online, print it, and then complete the hard copy version. 

• Adult Neuropsychological Evaluation Brochure
• Limits of Confidentiality/Therapy Cancellation Policy
• Medicare Financial Policy
• New Patient Information Form
• NJ HIPPA Form
• Pediatric Neuropsychological Evaluation Brochure
• Psychotherapy Agreement Policy

If you would like to have us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.

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