Forms

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

If you would like us 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.

Queens Cognitive Behavioral Therapy, PLLC

Address

141-08 Jewel Ave, Ground level,
Kew Gardens Hills,
Flushing, NY 11367

Phone

518-313-5104

Office Hours

Monday  

8:00 am - 10:00 pm

Tuesday  

8:00 am - 10:00 pm

Wednesday  

8:00 am - 10:00 pm

Thursday  

8:00 am - 10:00 pm

Friday  

8:00 am - 10:00 pm

Saturday  

Closed

Sunday  

Closed