• Psychological and Psychiatric Evaluations
  • Individual Psychotherapy for Children, Adolescents, & Adults
  • Family Therapy Marital Therapy
  • Group Therapy for Children, Adolescents, & Adults
  • Children, Parenting Counseling Training
  • Psychiatric Medication Monitoring

VIEW ALL OF OUR SERVICES

973-467-9333

Registration Forms

 

Patient Information Form (PDF - 2161k)

Includes terms and conditions of treatment (3 pages)

 

Privacy Notice (PDF - 2982k)

Individually identifiable health information (2 pages)

 

Privacy Notice Acknowledgment (PDF - 435k)

Acknowledgment of receipt (1 page)

 

Authorization Forms

 

Authorization for Release of Information Form (PDF - 1520k)

Authorizes release of protected information(1 page)