If you are seeking to sign up for therapy or counseling with Long Island Behavioral Health, please fill out the following eForms. Please complete them prior to the first session so this allows as much time as possible to focus on you.
Long Island Behavioral Health Intake Form
LIBH Child/Adolescent Intake Form
If you need to collaborate your sessions with another advisor, you can fill out the next form. Once you do so, we can work together to make arrangements for the collaboration.
HIPPA Authorization for Release of Information
Please use the form below to update your credit card information:
Credit Card Authorization Form