Soffer & Associates Comprehensive Psychological Services
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  • Services
    • Psychotherapy
    • Assessment
    • Services for Parents
    • Services For Athletes
    • Data Consultation
  • About Us
    • Ariella Soffer, Ph.D.
    • Jacqueline Howe, Ph.D.
    • Charity Wijetunga, J.D., Ph.D.
  • Schedule Now
  • Forms

Forms 

To minimize paperwork at your initial consultation, please complete the following forms and send them via email to your therapist/evaluator (if meeting remotely) or print/bring them to your first appointment.

Initial Therapy Consultation Forms


For All Patients
  • Patient Acknowledgement​
  • Please read our Notice of Privacy Practices to ensure that you are familiar with how psychological and medical information may be used and disclosed and how you can access this information.

For Adult Patients
  • Adult History and Checklist of Concerns
  • Psychotherapist-Patient Services Agreement
  • Consent to Release Information Form

​For Child and Adolescent Patients
  • Child/Adolescent History Form
  • Psychotherapist-Patient Services Agreement
  • Minor Consent​

ASSESSMENT FormS


For All Patients
  • Psychological Assessment Service Agreement
  • Patient Acknowledgement​
  • Please read our Notice of Privacy Practices to ensure that you are familiar with how psychological and medical information may be used and disclosed and how you can access this information.​

 ariella@drariellasoffer.com         (646) 300-5095

  • Home
  • Services
    • Psychotherapy
    • Assessment
    • Services for Parents
    • Services For Athletes
    • Data Consultation
  • About Us
    • Ariella Soffer, Ph.D.
    • Jacqueline Howe, Ph.D.
    • Charity Wijetunga, J.D., Ph.D.
  • Schedule Now
  • Forms