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 PATIENT/CLIENT:

Our doctors are not accepting new patients, though there is a short wait list that we can put you on. Dr. Sachs is still accepting new clients for consultation and evaluations (to provide diagnostic clarification and concrete treatment recommendations/referrals).

Please note that the waitlist to qualify for sliding scale is currently at least 6 months.

to FILL OUT OUR New PATIENT/CLIENT PACKET, CLICK HERE


CURRENT PATIENTS/CLIENTS:

Authorization to Release Confidential Records and Info FORm: CLICK HERE

CREDIT CARD AUTHORIZATION FORM: CLICK HERE

ADDITIONAL FINANCIALLY RESPONSIBLE PARTY FORM: CLICK HERE

CONSENT AND FINANCIAL AGREEMENT TO WORK WITH TRAINEE: CLICK HERE

CONSENT FOR IN-PERSON SERVICES: CLICK HERE