Practice Policies and Forms

For your convenience, the following are links to the forms needed for your initial visit. Please fill them out and provide your signature. You may scan and email them back to nycneuropsychiatry@gmail.com or bring them to your initial evaluation.

Statement of Privacy Practices

New Client Registration

Health Insurance information

Email and phone communication

Consent to Electronic Communication Use

Billing and cancellation policy

Authorization for Release of Information

Acknowledgement of Receipt

For additional convenience, you may download all of the forms in a single PDF at the link below:

All forms for initial visit