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New Patient Intake Forms

New to our practice? Please take a moment to print and complete the new patient forms below and give them to your therapist at your intake session.

New Patient Informed Consent and Disclosure Statement

New Patient Intake Form

Release of Information Consent Form

Insurance Information Form

33 Walt Whitman Road, Suite 240 Huntington Station, NY 11746

Phone: (631) 209-5343

email: [email protected]

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