Meryl Feldman, LCSW-R, C.Ht.

Psychotherapist / Hypnotherapist
About Me
How Does Therapy Work
Training and Experience
Contact Me
Intake Form
Intake Form

Please select the icon below to print out a copy of the Intake Form.

Complete and bring it with you at your first appointment.


To open the Intake Form, you will need to have Adobe Acrobat Reader installed on your computer.

To download a free copy of Adobe Acrobat Reader, click here.