Susan Bieber, Ph.D.
427 New Karner Rd. Suite 8
Albany, NY 12205
518-377-4093 Phone
518-370-4095 Fax
​drsusanbieber@protonmail.com
  • Home
  • Services Offered
  • Telepsychology
  • Insurance and Payment
  • Forms
  • Articles
    • Body Image
    • When Someone You Love Has an Eating Disorder
    • Anger and Recovery
    • Eating Disorders in Athletes
    • The Diet Industry - The Only Thing You'll Lose is Your Money
    • What About the Children?
    • Fat is Not a Four Letter Word
  • Directions
  • Contact
  • Resources
Feel free to print and fill out the following forms at home.  By filling out these forms ahead of time, you will save time during your visit.
Patient Intake Form
File Size: 812 kb
File Type: pdf
Download File

Appointment and Billing Information
File Size: 63 kb
File Type: pdf
Download File

Patient Information
File Size: 39 kb
File Type: pdf
Download File

Adult History Form
File Size: 140 kb
File Type: pdf
Download File

Child and Adolescent History Form
File Size: 132 kb
File Type: pdf
Download File

Informed Consent for Telehealth
File Size: 31 kb
File Type: pdf
Download File

Release of Information Form
​Complete Online
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