New Patient Forms
If you are a new client, or interested in becoming one, please complete the following forms and bring them to our first therapy session.
I prefer all clients who can to complete the following questionnaire and review and print the cancellation policy.
If you would like your care coordinated with another provider (for example, your psychiatrist or primary care physician), complete this form to authorize release of psychotherapy information. It is a good idea, which I encourage clients to complete.
Personal Choice or Keystone HealthPlan East clients, managed by Magellan, should complete this form as well.
Carebridge EAP clients should bring this form to the first session.
Dr milbourne's standard office hours are:
Thursday - morning at Plush Mills Senior Living; 11:45am-5pm in the office
Infrequent Saturday mornings