TMS | Behavioral Treatment | Melville
TMS | Behavioral Treatment | Melville
To Schedule An Appointment
Tel: 631-270-4401 Suboxone :631-513-1672
TMS | Behavioral Treatment | Melville
 
Suboxone Forms
Fill out the following forms out prior to your scheduled appointment.


Methadone Transfer Consent

Click To Download
This form must be filled out by the patient if he/she is on Methadone Treatment.

New Patient Registration Form

Click To Download
This form is for Intake and Pharmacy information. Please fill this out and bring it to your scheduled appointment

Attendance Policy Form
Click To Download
It is essential that you fill out the attendance policy

Patient Privacy Consent Form (For HIPAA Purpose)
Click To Download
This form entitles Suffolk Behavioral Medicine to contact the patient’s previous physician, therapist and/or any relatives with the patients consent.

Insurance Information Form
Click To Download
This form is for new patients or current patients whose insurance may have changed or expired. Please fill this out and bring it to your scheduled appointment
 

Connect With Us!

facebook
twitter
myspace
linkedin
 
NeuroStar TMS Therapy video
 
FAQ’s
 
 
Testimonials
Coming Soon











Coming Soon