new clients

intake forms

After formally scheduling your initial consultation with a provider at Union Square Practice, you will receive an email that includes a clinical intake document. If you have trouble accessing that document, or did not receive the intake form, please download and complete the appropriate forms below. These forms need completed prior to your first appointment with your provider. If you would like to send your forms electronically, please send them to along with the name of the provider you will be seeing.

There will also be hard copies of all necessary forms available at our office.

Contact Us to Get Started

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