Intake Form

 New patients will need to complete and provide me with this intake form in order to begin therapy. Completing this form prior to your appointment saves valuable time. To make the process as smooth and efficient as possible I provide this link here: intake-bio.PDF for download. You can either email the completed form to me or bring it with you to your first appointment.

 

If you have any questions, don't hesitate to contact me.

Beth Estergomy, LCSW

631-896-2884

bestergomy@gmail.com