443.398.1700 | 443.952.0928
nina@thespacebetweentherapy.com
Fax: 443.279.2260
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It’s easy to get started

Below you will find helpful links to download and fill out your new patient forms, then upload the completed documents and submit them below.

If you prefer to fill them out in person, we are happy to assist you during your first visit.

Please contact us if you have any questions or need assistance.

Consent Form

Download and fill out the Consent Form by clicking HERE.

Upload Insurance Card

Please scan and upload the front and back of your insurance card, then upload and submit within the form below.

Identification Form

Download and fill out the Identification Form HERE.

Client Portal

Login to our Client Portal to check appointment availability and request appointments. Please contact Nina@thespacebetweentherapy.com if you have not received your login credentials.

Submit Forms Here

If you would like to submit these documents online, please fill out the information below, upload the completed documents, then click submit.

Name:

Email:

Upload your Consent Form:

Upload your Identification Form:

Upload your Insurance Card (Please upload both front and back):