Before your first appointment
New Patient Intake Forms
Please complete the appropriate form below before your first session. This helps Dr. DioGuardi prepare thoughtfully for your care.
HIPAA Consent Form — Required
Please download, print, sign, and bring this form to your first appointment. It takes about 2 minutes to complete.
Office Policies & Informed Consent — Required
Covers the 48-hour cancellation policy, fees, communication guidelines, emergency procedures, and more. Please sign and bring to your first appointment.
Authorization for Release of Information
Required if you would like Dr. DioGuardi to communicate with another provider, school, or organization on your behalf. HIPAA-compliant.
Adult Intake Form
For individuals 18 and older seeking therapy services.
Questions? Call (914) 233-7177 or email rjd@drdioguardi.com.