The forms below must be filled out prior to your first appointment. Please bring your insurance card with you. If you have a copay, please bring a check or the correct amount in cash.  Credit cards are not accepted at this time.  If you do not have a copay listed on your insurance card, you will not be responsible for payment at your first session but will be billed once the insurance has been processed. If your check does not clear, you will be responsible for a $25 processing fee.  

If you have any questions, please contact me at 732.299.8040 or

Basic Information

Practice Standards

HIPAA Rights Notice (Please read, no need to print out)

HIPAA Receipt

Cancellation Policy

Release of Information


What To Expect

The first client session lasts approximately 45 minutes to 1 hour. Confidentiality and practice logistics will be covered, including the cancellation policy.  Please notify Navesink Counseling Associates and or your clinician if you will be unable to attend your appointment at least 24 hours in advance otherwise the client will be responsible for a $75 cancellation fee that will be collected at the next appointment.  Each following session will last 45 minutes long. The amount of sessions will correspond to the needs of the client.