Don't miss out on your free, new-patient consultation! 315-691-0900

P: 315-691-0900

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

P: 315-691-0900

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

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
  • How A Psychologist Helps
  • Pain Psychology 101 Blog
  • About Me
  • Telehealth
  • Treatment
  • 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.

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept