Make an Appointment: msb.lmhc@gmail.com | (917) 796-0106

Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out through our Client Portal.

Client Intake Form

Information Sheet

Informed Consent

Emergency Contact Sheet

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Request Appointment