Looking to take care of new patient paperwork before coming to the office?
COVID-19 Informed Consent Form
New Patient Packet-Adult
New Patient Packet- Child
New Patient Packet-Psychotherapy

Psychotherapy Service Agreement:
PBH Psychotherapy Service Agreement

Telehealth Consent Form:
PBH Telehealth Consent Form

PROTECTED HEALTH INFORMATION
Please do not send us any Protected Health Information (PHI), any clinical information, any treatment information or any other transmission that may contain material protected and governed by the Health Insurance and Portability Act (HIPAA) through unsecured email. Please contact us at our office phone number to find out how this type information should be sent to us.

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Please note that content on this website, including articles, images, graphics, reference links or any other material is for informational purposes only. It does not substitute or replace for professional medical information, appropriate clinical diagnosis/formulation and treatment planning; which may involve consultation with appropriate medical experts. Please speak with your own physician/medical expert for any specific questions regarding your medical condition(s). Any images/photographs provided on this website are not actual patients.