Patient Forms, Policies, Rates

Links to BETA Forms and Policies

POLICIES:(click on the link to display the document)

1. Notice of Privacy Practices

2. Clients Rights Handout

3. Client Grievance Handout

FORMS:(click on the link to display the form)

1. Initial Intake Form

2. Confidential Release Forms:

   (a) Release to Obtain

   (b) Release of Psychiatric info

3. Notice of Privacy-Receipt and Acknowledgment of Notice

These paper forms use the Adobe Portable Document Format (PDF)*. You must have a copy of the Adobe Reader installed on your computer. If you do not have this program you may download a FREE copy by clicking the "Get Adobe Reader" button below.

RATES:

We accept a variety of private insurance plans and also offer reasonable private pay rates for therapy in Brookline which are arranged directly with the clinician. For more information call us at 617-738-1480.