To make your first visit more effective please fill out and bring with you the outpatient registration form. Please note that we are updating the address on all of our forms to the new address:  708 E. 19th Street.

Forms for your first visit

Form Name
Patient Registration Form

Here is a list of other forms that we may go over in our first meeting, particularly the treatment contract and notice of privacy practices:

Forms that may potentially be used in Outpatient Therapy

Form Name
Outpatient Treatment Contract
Notice of Privacy Practices (Brief Version)
Authorization to Release Confidential Records and Information
Consent to Use and Disclose Your Information