Paul Newell Seaman LCSWCounseling & Psychotherapy for Adults
  • Home
  • Services Provided
  • Common Questions
  • Rates & Insurance
  • Contact Me
  • Appointment Request
  • Helpful Forms
  • About Me
  • Make A Payment
  • Privacy & Policy
  • Links

 
 
 

Paul Newell Seaman LCSW
(708) 256-7285
paul@paulseaman.com
 

Helpful Forms

If you are a first-time client, please:
1. Select the following three forms from the bottom of this page.
2. Print them out locally to your printer.
3. Review, complete, sign them, and bring them to your first session.
4. If you are using an insurance plan, please bring a photocopy of the
front and back of your insurance card.

New Client Intake Form
Policies
Limits of Confidentiality

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), please complete this form:

Authorization for Release of Confidential Information


New Client Intake Form


Policies


Limits of Confidentiality


Authorization for Release of Confidential Information


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


Copyright ©2008 TherapySites.com. All Rights Reserved.