Intake Documents
Welcome to Visiting Counselors of New York!
TO COMPLETE OUR INTAKE FORMS PLEASE SCROLL DOWN ON THE PAGE TO REVIEW AND ELECTRONICALLY SIGN THE DOCUMENTS.
PLEASE NOTE THAT YOU MUST CLICK THE "CONTINUE" BUTTON AT THE BOTTOM OF THE PDF TO BEGIN COMPLETING THE FORMS. PLEASE ALSO NOTE, UPON COMPLETION YOU MUST CLICK THE CONFIRMATION LINK THAT WILL BE EMAILED TO YOU.
If you prefer, you may download the forms by clicking the link provided below the PDF, then mail the completed documents to:
ATTN: Visiting Counselors of NY
PO Box 330, Commack, NY 11725,
or fax them to
(516) 418-5377.
If you have any questions or need assistance, please don't hesitate to contact our office at
(516) 698-5511. We’re here to help!
Documentos de Admisión
Si desea obtener nuestros documentos de admisión en español,
haga clic aquí.