3719 Union Rd. Ste 122 | Cheektowaga, NY 14225
 716.783.0407|   716.393.3430
Brightside Counseling Forms - Buffalo, NY

Client Intake Forms

Please print and fill out the form and bring it to your first appointment. You do not need to bring page 1 to your session. Please do not print forms on back and front of the paper. Date intake form the date of your scheduled appointment.

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OFFICE

3719 Union Rd. Ste 122
Cheektowaga, NY 14225

Brightside Phone

PHONE

716.783.0407