FORMS

Before our first meeting, please download, fill out, and submit the files below to the attached contact form.
Please submit 1 file at a time.
New Patient Intake Form
File Size: 898 kb
File Type: pdf
Download File
Insurance Reimbursement Form
File Size: 303 kb
File Type: pdf
Download File
rachel_bernstein_therapy_office_agreement.pdf
File Size: 303 kb
File Type: pdf
Download File
Mental Health History Form
File Size: 591 kb
File Type: pdf
Download File
Telehealth Consent
File Size: 762 kb
File Type: pdf
Download File
Click the button below to select and pay for services.