Forms
When entering into treatment we will be asking you to complete several forms. All clients are advised to review the Manhattan Mental Health Services, LLC HIPAA Privacy Notice and print it out for their own records. In addition, please download the appropriate files and fill them out before your first scheduled appointment. For example if you are seeking individual therapy, complete the Informed Consent and the Initial Paperwork under the Individual Therapy heading. If you need any assistance completing the forms or do not have access to a printer our staff would be happy to help and/or provide a printed copy of the documents. At your first appointment please also be sure to bring your driver's license or some other valid form of identification along with your insurance card (if you plan on using your insurance).
For access to a secure portal, click here.
For access to a secure portal, click here.
| Manhattan Mental Health Notice of Privacy Practices |
Couples Therapy
Informed Consent (each member of the couple will need to sign this document):
| Manhattan Mental Health Couples Informed Consent |
Initial Paperwork (each member of the couple will fill out this form by downloading, typing in responses, and printing):
| Manhattan Mental Health Couples Intake |
Group Therapy
Group Informed Consent (This is completed in addition to the individual paperwork) :
| Manhattan Mental Health Group Therapy Informed Consent |
Individual Therapy
Informed Consent:
| Manhattan Mental Health Informed Consent |
Initial Paperwork (please download, type in your responses and then print):
| Manhattan Mental Health Intake Document |
