3 Overhill Rd. Verona, NJ 07044
Lenny@LennyGalloLCSW.com
Phone: 973-559-3669
Fax: 973-692-7784
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Forms updated as of 05/25/2020
Credit Card Agreement
Acknowledgment of Forms
Release of Information
Consent for Treatment
Emergency Release Form
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Sliding Scale Application Form
Telehealth Consent Form
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Infectious Disease Informed Consent
Substance Abuse Contract