Counseling Forms | White Plains, NY

Forms

Prospective patients of Dr. Henry B. Hartman, please complete the forms below and bring them to your first appointment. If you have any questions, feel free to call (914) 761-6868.

Patient ID Form Policy Statement Form

HIPAA Policy Statement Acknowledgement of HIPAA Policy Statement

Submit Your Completed Forms

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Contact Information

NYS Licensed Psychologist

Phone: (914) 761-6868

Fax: (914) 761-7213

Email: drhenrybhartman@gmail.com

Address: 12 Old Mamaroneck Rd. Ste 1D, White Plains, New York 10605

Business Hours

Monday: 8:00 am - 6:00 pm
Tuesday: 8:00 am - 9:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 10:00 am - 9:00 pm
Friday: 10:00 am - 5:00 pm
Sat - Sun: Closed

Evening Hours Available