Note to New Patients:
Thank you for your trust in bringing your child or teen in for counseling, and yourself in for parent support. Please read, sign, and submit these forms before your first session. For the section on fees, please fill in the amount that we discussed on the phone or through email. If you have any questions, please let me know. I look forward to meeting you.
Kind regards,
Charlotte Reznick PhD
Forms can be completed online using the buttons below or printed by using the individual links. In the case of the COVID-19 Screening Form, this should be completed the day of each appointment.
New Patient Forms
COVID-19 Forms
Print Versions
Other Forms (Optional)
Print Versions
What Kids Most Want and Need From Their Parents
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