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P: 315-691-0900

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  • About Me
  • Services
    • How A Psychologist Helps
    • Telehealth
    • Evaluations
    • Treatment
    • Education and Media
  • Conditions
  • Other content
    • Pain Psychology 101 Blog
    • Resources
    • Contact
    • Forms and Notices
    • Fees and Charges
  • More
    • Home
    • About Me
    • Services
      • How A Psychologist Helps
      • Telehealth
      • Evaluations
      • Treatment
      • Education and Media
    • Conditions
    • Other content
      • Pain Psychology 101 Blog
      • Resources
      • Contact
      • Forms and Notices
      • Fees and Charges

P: 315-691-0900

  • Home
  • About Me
  • Services
    • How A Psychologist Helps
    • Telehealth
    • Evaluations
    • Treatment
    • Education and Media
  • Conditions
  • Other content
    • Pain Psychology 101 Blog
    • Resources
    • Contact
    • Forms and Notices
    • Fees and Charges

Useful Forms and Notices

Here are some forms you may need to access if you are one of my patients.  If you are inquiring about being a patient, please contact me directly.  We serve most of New York State including Syracuse, Rochester, Watertown, Binghamton, Cortland, and Utica. Pain

Direct referral form (pdf)Download
Notice of Privacy Practices (pdf)Download
Authorization to release/obtain health information (pdf)Download
  • Home
  • About Me
  • How A Psychologist Helps
  • Telehealth
  • Treatment
  • Conditions
  • Pain Psychology 101 Blog
  • Contact
  • Forms and Notices

Garry Spink, PhD - Spink Psychology, PLLC

PO Box 3115, Liverpool, NY 13089

P: 315-691-0900 ; F: -315-691-0910

Copyright © 2022 Spink Psychology, PLLC - All Rights Reserved.

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