Client Forms

Please use the following forms to submit information to EBS Therapy NY. You can either fill it out online or download and print the PDF and bring it to us. If you choose to fill out a form online, please know that we take your security and privacy very seriously. Online forms are hosted on EBS's secure, HIPAA-compliant server. Please call or email us if you have any questions.
Photography/Video Consent

Complete Online
Download/Print
Release of Information


Complete Online
Download/Print