Metro NY DBT Center

Serving New York & New Jersey

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.

Adolescent Patient Form
Adolescent Patient Form
Adult Patient Form
Adult Patient Form

 

 

 

 

 

 

 

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
New Client Face Sheet
Administrative Policies
HIPPA Form
 
 
Therapy Forms
 
Diary Card
Emotion Model Form