Phone: 631-286-0343

Bridges to Bright Futures
Bridges to Bright Futures

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 © 2025 Bridges to Bright Futures - All Rights Reserved.

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