Client Forms

Click below to download your client forms.

Please email the completed forms to melissadmkatz@gmail.com at least 3 days prior to your initial appointment.

Adults complete and email to me: Forms 1A, 2, 3, 4

Adolescents complete and email to me: Forms 1B, 2, 3, 4, 5

** Note to Parents about Form 5: The Authorization to Release Information form allows me to speak with psychiatrists, school administration, school behavioral staff, and/or teachers.

If you have any questions about paperwork before your appointment, please click here to email me or call me at (914) 584-1480 and I’ll be happy to help.