969 Park Ave. Suite 10 New York, NY 10028


622 Valley Rd. Suite 5I Upper Montclair, NJ 07043


Consent Form

Consent Private Practice Form

Welcome to Mindful cognition. Please read the following information carefully so you have a clear understanding of our policies concerning communication, fees, insurance, confidentiality, etc.

This acknowledges that we have provided you the opportunity to review our Practice Policies and Procedures as is required by federal law.

Please take your time to review and fully understand this document. Please sign and date at the end to indicate that you have understood and agree.

Thank you for your cooperation.

Download Consent Private Practice Form


Intake Form

Mental Health Intake Form

A mental health intake form is used by mental health professionals to collect contact info, medical history, and supporting documents while signing up new patients for their practice.

Download Mental Health Intake Form

Request Your Consultation Today! Call: 201-667-2197

We are a group of professional & experienced psychologists and psychiatrists