• Meet Beth
  • Services
    • Adoption Home Studies
    • College Students to the Emerging Adult
    • Conflict Resolution
    • Couples Counseling
    • Depression And Anxiety
    • Family Counseling
    • Grief Counseling
    • Intimacy and Relationship Issues
    • Obsessive Compulsive Disorders
    • Panic Attacks and Panic Disorder
    • Parenting Support
    • Rejection Sensitivity Dysphoria
    • Women's Issues
    • Work and Career Issues
  • Fees
  • Contact Me
    • Appointment Request
  • Patient Resources
    • FAQ's
    • Forms

Beth Kelley, LCSW

Beth Kelley, LCSW

  • Meet Beth
  • Services
    • Adoption Home Studies
    • College Students to the Emerging Adult
    • Conflict Resolution
    • Couples Counseling
    • Depression And Anxiety
    • Family Counseling
    • Grief Counseling
    • Intimacy and Relationship Issues
    • Obsessive Compulsive Disorders
    • Panic Attacks and Panic Disorder
    • Parenting Support
    • Rejection Sensitivity Dysphoria
    • Women's Issues
    • Work and Career Issues
  • Fees
  • Contact Me
    • Appointment Request
  • Patient Resources
    • FAQ's
    • Forms
Schedule a Complimentary Consultation
  • Phone
    (917) 797-2886
  • Home
  • >
  • Patient Resources
  • >
  • Forms

Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Offering in person therapy in Bronxville and Yonkers.

[email protected]

(917) 797-2886

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