New Patient Forms

For your convenience, Dr. Cohen offers her new patient forms online. You can save time at your first appointment by downloading, printing, and completing the forms before your first visit.

This download contains multiple forms for a total of 7 pages.

You can download these forms by clicking the blue button below.

Insurance

Dr. Cohen accepts many insurances.  Please check with your insurance carrier to find out if your insurance covers Mental Health Benefits and that Dr. Cohen is an in-network provider.  Some insurances require preauthorization.  This can be obtained through a phone call to your insurance company.  Many insurances have a co-pay.  Dr. Cohen accepts cash and checks, but does not accept credit cards.

Release of Information Form

To protect your privacy, information can be shared with someone else only with your permission.

Examples of people with whom your private information might appropriately be shared include physicians, past therapists, past evaluators, teachers, referral source, allied therapists, attorneys, and parents (if patient is over 18).

Sharing information is completely voluntary.

To allow or request information to be shared between Dr. Cohen and someone else, please download and complete the form by clicking on the button below.  This form can be submitted to Dr. Cohen by mail or in person.