COMPLETE OUR FORMS ONLINE

All of our forms can be completed electronically by following the links below. Once you click the link, enter your full name and email address to begin the process. The system will walk you through all the steps to complete and submit your forms.

If you are having trouble filling out the form electronically, there is an option to print and complete by hand by clicking the button at the top right of the form that says "Fill this out by hand." If you choose this option, please scan and email your completed forms to: info@cbtspectrum.com or fax to: 347-402-7871


NEW PATIENTS:

to FILL OUT OUR New PATIENT PACKET, CLICK HERE

to FILL OUT A SLIDING SCALE APPLICATION, CLICK HERE

CURRENT PATIENTS:

Authorization to Release Confidential Records and Info FORm: CLICK HERE

CREDIT CARD AUTHORIZATION FORM: CLICK HERE

ADDITIONAL FINANCIALLY RESPONSIBLE PARTY FORM: CLICK HERE