Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

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:


Note: To download Adobe Acrobat Reader for free, click here .

A Better Life Counseling

1050 Hallock Ave,
Port Jefferson Station, NY 11776

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Please do not submit any Protected Health Information (PHI).

Office Hours

Monday  

Closed

Tuesday  

2:00 pm - 10:00 pm

Wednesday  

2:00 pm - 10:00 pm

Thursday  

2:00 pm - 10:00 pm

Friday  

By Appointment Only

Saturday  

Closed

Sunday  

Closed