516-627-6201
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Long Island DBT Group
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Create a Life Worth Living

Client Forms

Client Forms for Adults:

  • LI DBT Informed Consent Adult
  • LI DBT Telehealth Consent Addendum Adult

Client Forms for Minors:

  • LI DBT Informed Consent Minor
  • LI DBT Telehealth Consent Addendum Adolescent

 

Please fill out the appropriate forms above and send them back to us via fax or email. Feel free to contact us at (516) 627-6201 if you need any assistance or have any questions about the forms.

Long Island DBT Group

Address:
1025 Northern Blvd
Suite 201
Roslyn , NY 11576

Phone: 516.627.6201
Fax: 516.627.6943

More Information

  • What is DBT?
  • Our Programs
  • Our Clients
  • Client Portal
  • Fees and Insurance
  • FAQ
  • Contact

About Therapists

  • Liza Papazian, MS., LCSW-R
  • Laura D. Hussey, LCSW-R
  • Krista Altman, MA, LCSW-R
  • Our Team
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We recognize the increased need for support during this challenging time related to Covid-19.
Our therapists continue to provide the same comprehensive DBT services both in person and via Telehealth to new and established clients.