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(718) 490-5396
khamiltonlcsw@gmail.com
120 West Park Ave, Long Beach, NY 11561

Second Wave Wellness and Online Counseling

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact Today

(718) 490-5396
khamiltonlcsw@gmail.com

120 West Park Ave,
Long Beach, NY 11561

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Kristina Hamilton, LCSW

(718) 490-5396
khamiltonlcsw@gmail.com

Online Counseling

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Supportive Psychotherapy for When You Need a Guiding Hand

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