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(516) 343-2350

(516) 343-2350

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Consent Form (required)

Please read and sign the consent form. I need to have the signed consent form prior to our first session. If you have any questions regarding the information in the consent form, I am happy to answer your questions prior to your signing the form. We can do this together at our first session or you can contact me prior to our first session. Please see the link below at the bottom of this page.

Intake Form (required)

The Intake Form helps me to learn more about you and tailor your treatment goals more quickly. The Intake Form has a link to a digital survey (using survey monkey) and will take approximately 10 minutes to complete. All information if for my eyes only and is only used to develop tailored therapy goals for you.  Please complete the intake form prior to the first session or prior to our next session.  Please see the link below at the bottom of this page. 

Generalized Anxiety Disorder (GAD-7) Screening Tool

The GAD-7 is a validated screening tool to assess the level of anxiety you may have been recently experiencing. The GAD-7 has a link to a digital survey (using survey monkey) and only takes 3 minutes to complete. All findings are confidential and are only seen by me and used to individualize your goals in therapy.   It is useful if you can complete the GAD-7 before our first session but can be done afterwards as well. Please see the link below at the bottom of this page 

Patient Health Questionnaire (PHQ-9) Screening Tool

The PHQ-9 is a validated screening tool to assess the level of sadness you may have been recently experiencing. The PHQ-9 has a link to a digital survey (using survey monkey) and only takes 3-5 minutes to complete. All findings are confidential and are only seen by me and used to individualize your goals in therapy.  It is useful if you can complete the PHQ-9 before our first session, but it can be done afterwards as well. Please see the link below at the bottom of this page. 

Rational Emotive Behavior Therapy (REBT) Form

The REBT Form is a helpful tool to better understand the process of cognitive behavior therapy and how to identify and process: a) thoughts and feelings, b) the influence of beliefs on our feelings and behaviors, c) strategies to identify false or unhelpful beliefs, d) the process of replacing beliefs and the resulting impact.  The REBT Form provides a structure to practice an invaluable skill of identifying our continuous self-talk and reprocessing this information. It takes time and practice but can transform the way you think and feel and modify unwanted behaviors. Please see the form below at the bottom of this page. 

Consent Form (required)

Intake Form Link (required)

GAD-7 Link

PHQ-9 Link

REBT Form

10 Core Irrational Beliefs



REBT form (pdf)

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Consent Form (pdf)

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GAD Link (pdf)

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Intake Form link (pdf)

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PHQ_9 link (pdf)

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tencoreirrationnalbeliefs (pdf)

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