Mental Health Treatment History Form

Mental Health Treatment History Form

Get help using 'Mental Health Treatment History Form'

  • Mental Health Treatment History

    If you would like to make an appointment with our on-campus psychiatrist and you have a current mental health provider, please have your provider complete the Mental Health Treatment History Form and return it to the Health & Wellness Center.  If you would like an appointment with our on-campus psychiatrist and do not have a current mental health provider, please call the Health & Wellness Center at 914-395-2350 or go online to schedule a consultation appointment with one of our therapists.

    Mental Health Treatment History.pdf

     
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Ungrouped

    Mental Health Treatment History form
    Required
    Mental Health Treatment History Fillable 06212021.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.