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Call Us | 973-263-0683

Important Forms

If you’re a new client, you can make your first visit smoother by printing and completing the necessary forms before your appointment. Please give us a call at 973-263-0683 if you are unsure as to which forms to fill out.

Initial Forms:

Client Intake Form
Impact Health Policies
Client Consent Form
Notice of Privacy Practices
Notice of Privacy Practices Receipt

Additional Forms:

Adolescent Information Form
Adult Information Form
Child Information Form
Consent for Treatment of a Minor
Telehealth Consent

4 2ND AVENUE | SUITE 106
DENVILLE, NEW JERSEY 07834