new clients

intake forms

After formally scheduling your initial consultation with a provider at Union Square Practice, you will receive a confirmation email that includes a clinical intake document. If you have trouble accessing that document, or did not receive the intake form via email, please download and complete the appropriate forms below. Once you have completed the forms, you can bring the completed hard copy documents to your first appointment with your provider. If you would like to send your forms electronically, please send them to new@unionsquarepractice.com along with the name of the provider you will be seeing.

There will also be hard copies of all necessary forms available at our office.

If you have any questions about the forms, please contact us.

MAKE AN APPOINTMENT

Complete the form below and our Clinical Coordinator will contact you to schedule an appointment.