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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
New Client Face Sheet
Administrative Policies
HIPPA Form

Therapy Forms
Diary Card
Emotion Model Form

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Copyright © 2022 · Metro NY DBT Center · Serving New York & New Jersey · 212-560-2437 · info@metronydbt.com

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