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    • Counseling
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    • Board of Directors
    • Forms

(516) 343-2350

(516) 343-2350

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Transform Your Life with NYCCC

Consent Form

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. 

Intake Form

The Intake Form helps me to learn more about you and tailor your treatment goals more quickly. Please complete the intake form prior to the first session or prior to our next session. 

Teletherapy

We understand that life can be busy and it's not always easy to make it to in-person therapy sessions. That's why we offer teletherapy services that allow you to connect with our licensed therapists from the comfort of your own home. If our sessions are via phone or zoom all information is completely confidential but may not meet HIPPA compliance. 

Downloads

Consent Form

REBT Form

Intake Form


consentform (pdf)

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REBT form (pdf)

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IntakeForm (pdf)

Download

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