Intake Forms

To book an appointment at one of our three locations in northern New York and Vermont, please fill out an online or print version of our intake forms.

Option 1
Fill Out OnlineTMS Intake Form

Adult/Child Intake Form

Option 2
Print & BringTMS Intake Form

Adult/Child Intake Form

Plattsburgh, NY

plattsburgh@ncbm.com

8 Broad Street
Plattsburgh, NY 12901

Phone: 518.825.1555
Fax: 518.825.1550
Get Directions

Colchester, VT

colchester@ncbm.com

441 Watertower Circle
Suite 200
Colchester, VT 05446

Phone: 802.404.1492
Fax: 802.404.1490
Get Directions

Malone, NY

malone@ncbm.com

213 W Main St
Malone, NY 12953-1510

Phone: 518.481.8744
Fax: 518.481.8543
Get Directions
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