Michelle Marks PhD
New York State Licensed Psychologist

New Client Forms

Please download, complete and print the Psychotherapy Intake and the Office Policies and Consent forms below and bring them to your first session. Also, please review my office's HIPPA Notice of Privacy Practices. You will be required to sign an acknowledgement that you have reviewed and understand these Privacy Practices.

Additionally, please complete the following assessments before your first session.


Symptom Checklist


VIA Online Character Strengths Assessment (this is optional but highly recommended). FYI: In order to take this assessment you will need to register. Registration is free and your information will not be shared without your permission.




If you have never participated in psychotherapy before, you may have questions about the unique relationship between a therapist and a psychotherapy client. Please review this document to understand the nature of the therapist/client relationship, and feel free to discuss any questions or concerns with me.