New Clients

Thank you for initiating treatment with this office. To assist you with your initial consultation, please review the following:

1.  Please provide a copy of your license and insurance card, both front and back along with your date of birth attached. 

2. Please complete, print, and email the Registration Packet.

3. This  office uses a hybrid approach. This is includes tele-health on the Simple Practice platform as well as in office visits. I offer in office visits on Tuesday’s, Thursdays, and alternating Saturdays. This is subject to change. Virtual sessions are typically available on Wednesdays and Friday’s. Flexibility is greatly appreciated. There may be occasion when you are asked to do a tele-health session in lieu of an in office session.

4. If you opt for tele-health services, provided by the SimplePractice platform, you will receive a link to download for your upcoming appointment. Simply, click on the link after downloading and follow the directions on the screen. 

5. Appointment reminders are provided through Simple Practice.

6. All billing is outsourced to Inspired Billing and managed electronically. Please direct all inquiries to r.mendoza@inspiredbilling.com. Monthly invoices will be sent to your email and address provided.

7. Please feel free to email me or text me with any questions you may have concerning the appointment or if you need to cancel. It is important that you provide 24 hour notice if possible when needing to cancel. My telephone number is (732 )501-5917 and my email is gwensbloom@gmail.com.

8. My address is located at the Branchburg Commons development at 3322 RT 22 West, Building 4, Executive Suites. Branchburg, NJ 08876. This is a shared workspace. Please have a seat in the waiting area and I will come out to greet you at your  designated appointment time.

Thank you, and I look forward. Forward to meeting you.

Forms

The forms below are provided for your convenience. If one is requested, you can print the form and bring a completed copy to your scheduled appointment, or simply email it to gwensbloom@gmail.com

*Registration packet*

Additional Screening Forms:

Beck depression Inventory

Mood Disorder Questionnaire

DBT Diary Card