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Metro NY DBT Center

Serving New York & New Jersey

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New Patient Information

For new patients, click to download and fill out the New Adult Patient form or New Adolescent Patient form and bring with you to your first appointment.

Below are other documents that will need to be signed off on when you meet with your Clinician:
Release of Information Form – Adolescent
Release of Information Form – Adult

Insurance Information
(please click this link for information)

Therapy Forms
Diary Card
Emotion Model Form

Please call 212-560-2437
[email protected]

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Copyright © 2023 · Metro NY DBT Center · Serving New York & New Jersey · 212-560-2437 · [email protected]

Please click here to read a special message about our Covid-19 Protocols for in person sessions