Malta, NY (518) 289-5072
Niskayuna, NY (518) 374-6263
Adult Therapy Clinical Paperwork
Thank you for your interest in becoming a Union Street Counseling patient! Get started by following 3 simple steps:
Download and save the form to your computer
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The Intake Form allows for proper assignment to a private provider who participates with your insurance and will best be able to assist.
Submit your form
Fill out the fields below and attach your completed “Adult Therapy Clinical Paperwork” PDF.