Counseling & Mediation LCSW PLLC
Individual Therapy Family Therapy Marital Therapy Anger Management Group Therapy Forensic Services Specialized Services
Patient Forms Patient Education Patient Resources

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Services
 
 
 
 
 
 
1.  Attention Deficit Hyperactivity Disorders, Learning Disorders      and other Developmental Disorders

2.  Pervasive Developmental Disorders including Autism,      Asperger’s syndrome

3.  Conduct Disorders, Oppositional Defiance, Disruptive      Disorders, School truancy and other school age problems

4.  Substance Abuse Disorders including Smoking and Alcohol       Issues in teenagers and adult population

5.  Depression, Anxiety, and Major Psychiatric Problems       including Schizophrenia, Mood Disorders

6.  Substance Abuse Problems and Addiction Problems

7.  Forensic and Mandated Counseling

8.  Anger Management, Domestic Violence and Marital      Problems

9.  Pre and Post Marital Counseling, including HIV Counseling

10. Chronic and terminal diseases management as in Cancer,       Dialysis, Major Mental Illnesses with a view to increase       quality of life

11. Divorce Mediation and resolving marital conflicts amicably       between partners

12. Conflict resolution, Violence reduction, Parent training,       Foster care as well as Adoption Services and consultative       services to Schools, Work Places, Crisis Intervention,       Critical Incident Stress Debriefing, Post Traumatic Stress       Disorders and other problems.

Download Forms

Please find below the forms to download. Fill it up and mal it to us or bring it during appointment.

1.
 Face Sheet for New Client Click here to download
2.
 HIPAA Policy Form Click here to download
3.
 Consent for Therapy Click here to download
4.
 HCFA 1500 Form Click here to download
5.
 Biosocial History Click here to request
6.
 Alcohol Abuse Survey Form Click here to request
7.
 TSCM – PHQ 9 Form Click here to request
8.
 TSCM – OD 45.11 Form Click here to request
9.
 B D I II Form Click here to request
10.
 Burns Anxiety Report Form Click here to request
11.
 Release Of Information Form (NYS) Click here to request
12.
 ADHD Self Reporting Scale (TSCM) Click here to request