Private Mental Health Group LLC
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Forms

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Take the first step towards your mental well-being by downloading the forms below.

  • Annual Psychiatric Evaluation
  • Approved Patient Paperwork
  • Credit Card Authorization Form
  • Current Patient Application Form
  • Group Therapy Progress Note
  • HIPAA Authorization
  • New Patient Application
  • Psychiatric Evaluation Part I
  • Psychiatry Follow Up Outpatient Visit & Mental Status Examination
  • Psychotherapy Note
  • Return to Treatment
  • Screening Checklist for Vistors & Employees
  • Second Opinion Psychiatric Evaluation
  • Tele Mental Health Consent
  • Treatment Plan
  • ADHD Testing Form
Private Mental Health Group LLC

Services Areas Covered: New York , New Jersey , Florida, Pennsylvania, Delaware, Georgia

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Contact Details

  • Email: info@sanityteam.com
  • Phone: 954-794-9000
  • Fax: 754-800-2610
  • 12 SE 7th Street, Suite 705 Fort Lauderdale, FL 33301

    NYC Location

    188 Hylan Blvd Staten Island, NY 10305

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