Essex Counseling CenterShort Hills, New Jersey
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973-295-0999
Client forms

Paperwork, made simple.

Please download and complete the forms below to bring them to your first session. That way we have all of the information we need in one spot to get started right away.

Intake Form

Complete before your first session.

Outpatient Contract

Terms of outpatient treatment.

HIPAA Notice of Privacy Practices

How your health information is used and protected.

Cancellation Policy

Appointment cancellation and no-show policy.

Credit Card on File

Authorization for payment on file.

Releases

Release of information authorization.

These forms contain personal and health information. Please don't email completed forms. Bring them to your appointment, or ask us about our secure client portal.
Essex Counseling Center

Individualized counseling for children, teens, adults, couples, and families, in person in Short Hills and online.

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830 Morris Turnpike, Suite 405
Short Hills, NJ 07078

973-295-0999
michelle@essexcounselingcenter.com

Areas we serve

  • Millburn
  • Livingston
  • Summit
  • Maplewood
  • West Orange
  • Springfield

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© 2026 Essex Counseling Center, LLC. All rights reserved.If you are in crisis, call or text 988 or dial 911.