top of page
New Client Intake Forms
New Client intake forms may be found and submitted here or by emailing intake@fmhcofnny.com
New Client Intake Forms
Please complete the following questionnaires and agreement forms and use the drop box to submit all paperwork. Failure to complete all forms in their entirety 24 hours prior to your appointment may result in your appointment being cancelled.
Initial Intake Questionnaire
HIPAA Agreement form
Consent for Treatment and Treatment Limitations
Fee Agreement
bottom of page
