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Forms

Below are Release of Information forms (Adult or Child/Adolescent versions) to complete online should you need to complete one before or after your appointment, without needing to come in to the office.

Release of Information- Adult

Release of Information- Child/Adolescent

Contact Information


Phone: 518-560-4277

Fax: 518-662-4277


Email:

•Alicia Mahler- Director


•Marisa Velez- Evaluation Intake Coordinator

•Nikki Leduc- Therapy Intake Coordinator

   [email protected]

   Schedule a therapy phone consultation


•Jessica Leduc-Autism Services Coordinator

   [email protected]

   Schedule an Autism Services consultation


Hours:

Mon-Fri: 8am-8pm

Sat: By Appointment

Sun: Closed


Address:

4 Avis Drive

Suite 101

Latham, NY 12110

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