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The Intake Packet forms, previously only mailed to new clients, are now available on this website for you to download to print out and complete by hand, and then send them to the AFCCenter practice by email, fax, or via the US Postal Service.
Click on each form below to open and download it:
• A Welcome letter from our Director, Herbert Jay Rosenfield, LCSW
• The frequent “Goals of Therapy”
• Directions to the Cheshire office
• Clients’ Rights and Responsibilities
• Hipaa Policies and Agreement Form
• Acceptance of Telehealth Services
• Our Relationship and Our Financial Practices
To send forms to the Cheshire office of The
ADOLESCENT & FAMILY COUNSELING CENTER:
The Republic Building
350 South Main Street Cheshire, CT 06410
Phone: (203) 271-1234
Fax: (203) 272-9094
To send forms to the Danbury office of The
ADOLESCENT & FAMILY COUNSELING CENTER:
72 North Street – Suite 205,
Danbury, CT 06810
Phone: (203) 790-1234
Fax: (203) 743-1110
Ad
Herbert Jay Rosenfield, ACSW, LCSW, BCD, Director / Licensed Clinical Social Worker
"Helping You Solve Life's Problems!"TM since 1980
Cheshire
(203) 271-1234
Danbury
(203) 790-1234
ADOLESCENT & FAMILY COUNSELING CENTER
Copyright © 2016, Adolescent & Family Counseling Center , LLC
Web Design by TBR Web Designs | Last Modified November 21, 2016
All photography is the original work of Herbert Jay Rosenfield and cannot be copied or reproduced without permission.
The Adolescent & Family Counseling Center offers therapeutic care and other services including health, mental health and educational services, through individual, adolescents, couples, family and group psychotherapy, by performing assessments and evaluations, and by offering presentations and workshops in psychotherapy, educational assessment, substance abuse, addictions, stress, grief, children, divorce, sexual depression, anxiety, attention deficit, hyperactivity, ADHD, EAP, parenting, marriage relationships, private practice, insurance, panels. Our staff consists of family counselors, psychotherapists, individual and marriage counseling, child counseling, LCSW, PsyD, LMFT, LPC, social worker, psychologist, psychiatrist, MD, MSW in the Cheshire, Meriden, Wallingford, Southington, Danbury and other areas.