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
1025 Northern Blvd. suite 214
Roslyn, New York 11576
Phone: 516-466-2537
Fax: 516-439-4936
Copyright © ff The Psychological Health Collaborative, PLLC