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ASafeHavensilverlinings@aol.com
(631) 905-6884

Sue Ann Fratello

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Psychotherapy Intake Form

Information Sheet

Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.

Contact Today

 

Sue Ann Fratello

(631) 905-6884
ASafeHavensilverlinings@aol.com

88 Brookfield Avenue Center
Moriches, NY 11934

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My Specialties

∙ Anxiety
∙ CBT
∙ Couples
∙ Depression
∙ Family Counseling
∙ Grief & Bereavement
∙ LGBTQ
∙ Trauma
∙ Transgender

Connect with Me

(631) 905-6884
ASafeHavensilverlinings@aol.com

 

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