Phone: 631-286-0343

Phone: 631-286-0343

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Downloads

Forms and other resources for agency therapist use. For questions and to request other resources please contact Tara Nielsen at 516-449-0534.

Parental Consent EMAIL_Text (pdf)Download

Parental Consent EMAIL_Text_Spanish (pdf)Download

Confirmation of Service Start (pdf)Download

Progress Report (pdf)Download

BTBF-DOH EI Referral Form (pdf)Download

Session Notes Form BTBF2022 (pdf)Download

SessionLog2022 BTBF (pdf)Download

NYS - Confirmation of Service Delivery - DISABLED In-Person Parent Signature Capture (pdf)Download

First Visit_Alternate Signature (pdf)Download

Suspected Child Abuse Report Form (pdf)Download

BTBF Fax Cover Sheet (pdf)Download

Consent Records Release (pdf)Download

Consent to Release HIV_Other Info (pdf)Download

File access Log (pdf)Download

Therapist Extended absence (pdf)Download

Home
About Us
Services
Caregiver Resources
FAQs
Careers
Helpful Links
Contact Us
Therapist Resources

Bridges to Bright Futures

PO Box 6, Bellport, NY 11713

Fax: 631-569-2007

Copyright © 2023 Bridges to Bright Futures - All Rights Reserved.

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