Client forms

New client forms

Assessment Packet for New Clients

This packet includes all of the insurance & consent forms, no need to fill out any other forms.

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Assessment Packet for New Family Clients

This packet includes all of the insurance & consent forms, no need to fill out any other forms.

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Insurance Verification Forms

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Consent for Release of Information

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Existing client forms

Consent for Release of Information

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Emergency Contact Consent for Release of Information

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Telehealth Consent

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Insurance Verification Forms

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Drug Testing Agreement

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Credit Card Agreement

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Start your recover journey today

Contact our team to learn more about our program and
start the admissions process.

Call (212) 838-0044