Client Forms

New clients will need to fill out several forms before treatment can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

Please fill out all of the forms and bring them to your first visit.  Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you have any questions, don’t hesitate to contact us.

New Client Forms for clients of Michelle Massi

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf
Adobe Acrobat document [167.6 KB]

Authorization Form

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_ATLA 2017

New Client Forms for clients of Marni Baim

New Client Treatment Agreement – Marni Baim, LCSW

Contains essential patient information as it relates to treatment. Including the treatment agreement, the patient bill of rights, HIPAA information and the email and text messaging consent form.
Treatment Packet 2017_MB_ATLA

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf
Adobe Acrobat document [167.6 KB]

Authorization Form – Marni Baim, LCSW

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_MB_ATLA

New Client Forms for clients of  Nicholas Jewell

New Client Treatment Agreement – Nicholas Jewell, PsyD

Contains essential patient information as it relates to treatment. Including the treatment agreement, the patient bill of rights, HIPAA information and the email and text messaging consent form.
Treatment Packet 2017_NJ_ATLA

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf
Adobe Acrobat document [167.6 KB]

Authorization Form – Nicholas Jewell, PsyD

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_NJ_ATLA

New Client Forms for clients of Andrea Najemy

New Client Treatment Agreement – Andrea Najemy, LMFT

Contains essential patient information as it relates to treatment. Including the treatment agreement, the patient bill of rights, HIPAA information and the email and text messaging consent form.
Treatment Packet 2017_AN_ATLA

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf
Adobe Acrobat document [167.6 KB]

Authorization Form – Andrea Najemy, LMFT

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_AN_ATLA

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Information for Client welfare: Click here to access information regarding “Professional Therapy Never Includes Sex