Click the link below for the Child Intake Form (Under 18 years of age)
https://hipaa.jotform.com/220274742488057Click the link below for the Adult Intake Form (Over 18 years of age)
https://hipaa.jotform.com/220274742488057Click the link below for the Telehealth Consent Form
https://hipaa.jotform.com/220274742488057Click the link below for Adult Questionnaire
https://hipaa.jotform.com/220274742488057Click the link below for Child Questionnaire
https://hipaa.jotform.com/220274742488057Click the link below for HIPAA Release Form
https://hipaa.jotform.com/220274742488057Click the link below for Agreement to pay for mental health services out-of-pocket rather than use my insurance
https://hipaa.jotform.com/220274742488057Click the link below for Agreement to pay for psychotherapy not covered by my insurance
https://hipaa.jotform.com/220274742488057
Grunblatt Psychology & Counseling Offices, P.C. 