Innovative Mental Health Care Serving Kingston, NY and Poughkeepsie NY Regions

Important Forms and Policies for Our Patients

Policy and Forms

Click here to access our Website Privacy Policy 

We now offer on-line patient registration.  Our Practice Fusion electronic health record is synced to the Patient Fusion patient portal.  When you schedule your initial appointment our administrative staff will request your email and we will send you an email invitation to join the Patient Fusion portal. Once registered on Patient Fusion and you have an appointment you can click on your upcoming appointment and the portal will direct you to Complete Check In.  Please review and answer all questions for your first appointment. When we once again have in person sessions you can also print the New Patient Registration Form below, complete it, and bring it with you to your appointment.

Click here for on-line Registration through Patient Fusion Patient Portal

Click here to access our New Patient Registration Form.

Click here to access Release Form

Click here to access Healthcare Insurance Participation of our Psychiatric Providers

Click Here For Medicare Private Contract

Click here to access our Credit Card Authorization Form.

We are committed to protecting your privacy. Click here to view our HIPAA Privacy Policy

Standing Commissioner's Order for Isolation of Lab Confirmed COVID-19 Positive

Please don’t hesitate to CONTACT US if you have any questions.