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

[email protected]

•Marisa Velez- Evaluation Intake Coordinator

[email protected]

Schedule an evaluation phone consultation

•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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