If you're a new client, please complete the following forms and return them to Dr. Scrivani via fax at 888-535-5671.
- New Patient Information Form
- Informed Consent/Office Policies
- Privacy Statement
- Consent for Email Communication
- Credit Card Authorization Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
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