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Forms

If you're a new client to Dr. Blumberg's St. Margaret's Bay practice, please complete the following forms and bring them to your first therapy session.

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

For new clients seeing Dr. Blumberg through the Enigma Mental Health Studio in Clayton Park, please complete the following documents instead of the above and bring them to a first visit.

Enimga First Visit Forms

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


Two Locations

Halifax and Head of St. Margaret's Bay

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