These secure intake forms (top sections below) will help give me a general understanding of your issues and situation in order to give the best care. These forms can be completed online in preparation for our first online video session.

Initial Intake Packet

Please Complete These First (all intakes) 

Screening Questionnaires (alcohol/substance evaluations only) 

Screening Questionnaires (gambling assessments only) 

Other Assessments (as applicable)

Consent Forms

If you prefer, instead of the above secure forms, prior to your initial appointment you may print this MS Word file containing the same intake packet, complete the forms by hand, and either upload, fax, or otherwise securely transmit them to me. My confidential fax number is 866-428-0282, or you may send encrypted email to tom@choicesmhc.com, or (if the appointment is days away) snail-mail them to:

Choices Mental Health Counseling PLLC Narrowsburg Union 7 Erie Avenue Narrowsburg, New York 12764

For Existing Clients

Policies and Procedures

For Information and Reference