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CALL TODAY 516-506-1900

Forms

Please complete and bring the forms in to your initial evaluation or email them to office@centerhealthyminds.com

Teleconferencing form
Consent for Treatment
Reminder Calls
Cardiovascular Screen
HIPPA Consent
Office Policies and Procedures
Patient Information - Child
Patient Information-Adult
Payment Policy
The Center For Heatlhy Minds
Dr. Halana Rothbort

222 Rockaway Turnpike, Suite 1
Cedarhurst , NY 11516

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