Family & Personal Counseling

Registration Forms


​Thank you for registering with Family & Personal Counseling.  


Please CLICK HERE to download our registration form.



Please print, sign where indicated, and bring this form, your insurance card, and photo ID to your first appointment.  


Upon arrival, have a seat in the waiting room.  You will be greeted by your therapist at or near your appointment time.  Please be aware that there are no reception services.  Please do not knock on doors and keep conversations quiet.  Sessions are in progress.


If you have any questions, please call us at 631-758-8290.



Embrace the Power of Change

Call Us:  631-758-8290