Call: 631-656-0472

Release Forms

Release Forms

Release Forms

Release of Information Form (Only necessary if you are giving an LIBM Practitioner permission to communicate with another person/physician/therapist, etc)

Utilizing an integrative model to improve health and well-being

Long Island Behavioral Medicine

Phone:
631-656-0472

Address:
1717 Veteran's Memorial Highway (Rt. 454), Suite 2
Islandia, NY 11749