Forms

Before your first appointment with me, please download and print the following forms, read them, and bring them with you to my office.

I will be happy to answer any questions you have during your first appointment.

General Information

Professional Credentials

Fees & Insurance

Forms/Make Payment

Contact Dr. Garbell

Receipt of HIPAA Notice Form

HIPAA Notice (no signature required)

Insurance Consent Form

Consent to Disclose Information for Health Care Operations Form

Consent for Treatment Form

Teletherapy Consent Form

COVID Informed Consent

Make A One-Time Payment