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.

Create a Life Worth Living

Client Forms

Not Sure Where to Start?

Summer Intensive DBT Skills Groups

For more information or to sign up
please call 516-627-6201

Create a Life Worth Living

Client Forms

Not Sure Where to Start?

Summer Intensive DBT Skills Groups

For more information or to sign up please call 516-627-6201

For more information or to sign up
please call 516-627-6201