Patient Forms, Policies

Links to BETA Forms and Policies

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

Primary Forms:
1. Therapy Agreement

2. Health Insurance Deductibles

Additional Forms:
1. Relevant History

2. Release of Psychiatric Information

3. Child/Adolescent

4. Release to Obtain Confidential Information

5. Coaching and Virtual Communication

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.


How to Meet with A Therapist

Phone: 617-738-1480
Location1: 7 Kent Street Brookline, MA 02445
Location2: 1180 Beacon Street, Suite B, Brookline, MA
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