The

One small change can make a big difference. Together moving forward...

908-665-1000

Client Paperwork

To save time on your first visit, you can download new patient forms, print them out and complete them before you arrive.

Please bring the completed forms with you to your first appointment or arrive 20 minutes early in order to have time to complete the forms in our office.

​     Client Registration Form

​     Consent to treatment

​    Consent to disclose

​     Agreement for pay for professional services

​     NPP-Abridged

​     HIPPA privacy notice

​ Credit Card Authorization

 

 

 

 

 

Copyright © 2018 Gateway Center for Counseling and Recovery, LLC

72 Floral  Avenue, New Providence, NJ 07974

908-665-1000

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