Elizabeth Kapstein, LCSW-R, CASAC, EMDR (she/her)
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917-573-3027  / ektherapy.com
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Practice Forms
To save time when we meet, please download and print these forms, fill them out, and bring them to your next session. Please let me know if you have any questions.

The Patient Contact Form provides me with your basic contact and insurance information.

The Patient Information Form provides me with a more thorough history.

The Appointment Policies form outlines my policies on cancellations, appointments, and more. Please read it closely, sign it to indicate that you've read it, and keep a copy for your records.

The Communication Policies form outlines my policies on online communications and contact. Please read it closely, sign it to indicate that you've read it, and keep a copy for your records.

The Confidentiality & Privacy explains how I handle your personal health information. 

When we meet, I’ll be happy to answer any questions you might have about this information. Thank you.

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Therapy | Workshops | Supervision

ekapstein.com
elizabeth@ektherapy.com | 917-573-3027

Locations

Virtual & In Office 
New York, NY