Visionary Mental Health Counseling Services, P.C.

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Dr. Jeffery, McKoy, PsyD., LMHC., FAPA., FACC
Ms. Tamika Steward, M.Sc., LMHC

(718) 498-9898 - Office
(718) 272-1424 - Fax
jmckoylmhc@optonline.net
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form  
Confidentiality and Cancellation Policy  
Disclosure Authorization  

Note: To download Adobe Acrobat Reader for free, click here.


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