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Blue Mountains
Blue Mountains

Helpful Forms

If you're a new client, please complete the following fill-able forms and send them back using the "Secure File Transfer" link.

Send all forms to:
[email protected]

Client Psychotherapy Intake Packet 

Consent for Treatment and Limits of Liability

Notice of Privacy Practices

Disclosure Statement

Secure File Transfer

Note: To download Adobe Acrobat Reader for free, click here.

If you would like any information shared with your physician or any one else please fill out below form.

Authorization to Use and Disclose Protected Health Information

Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment.