Welcome new patients…

I am making my practice information and form files available here for you to download and print.

Please review the forms, complete them by filling in your information and bring them with you when you next visit my office.

If you have any questions, I will be pleased to assist you.

Dr. Mark Cohen

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Forms…

All forms require Adobe Reader

	Privacy Policy To be reviewed prior to the first visit
	Receipt of Privacy Policy To be signed by all adults who will participate in treatment
	Outpatient Services Contract To be signed by all adults who will participate in treatment
	Patient Contact Information To be completed by the patient under whose name health insurance claim will be filed
	General History One for each adult who will participate in treatment
	Release of Information One for each person whom you are seeing (i.e., primary care physician, psychiatrist and any other mental health provider)