Forms for your first visit
You can download forms to bring with you to your first visit and save time in the waiting room. We can always provide them for you when you come, but you may want to come a few minutes early.
Intake Forms for Abigail Burd, LCSW
To read and keep for your files: “Notice of Privacy Practices”:
Notice of Privacy Practices_Abigail Burd, LCSW
Please PRINT, COMPLETE AND BRING WITH YOU: “Receipt and Acknowledgment of Notice”:
Receipt Acknowledgment Of Notice_Abigail Burd,LCSW
and “Client Information Form”:
Client Information_Abigail Burd, LCSW.
Optional form that may be useful.
If there is another professional or a family member that you would like me to be able to talk to, this “Release of Information” form may be needed:
Release of Information_Abigail Burd, LCSW