Intake Forms

Office Policy Forms

Please download the forms and fill out.

Office Policies

Release of Information Form


Child & Adolescent Form

Please download the forms and fill out.

Child/Adolescent Form

Child/Adolescent Questionnaire

Treatment for Minors Consent Form”


Adult Background Form

Please download the form and fill out.

Adult Form


The Psychological Health Collaborative PLLC
200 S. Service Road, Suite 212
Roslyn Heights, New York 11577
Phone: 516-466-2537
Copyright © ff The Psychological Health Collaborative, PLLC