We will email you the following forms for you to print and complete prior to your intake appointment. Please bring them to your first session.
- Personal Data Form
- MPP Office Policy Form
- MPP Consent to Treat a Minor Authorization Form
- MPP Duty to Warn in NY
- HCFA Insurance Billing Authorization
Please refer to the following forms for your information only. You may print and keep a copy of these policies if you would like.
--------------------------------------------------------------------------------------------------------------------------------------------
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), print and complete this form and bring it to your next session.
Note: To download Adobe Acrobat Reader for free, click here.
