Social Butterfly Counseling

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    Clinical Forms

    Please fill out the following forms and forward to your clinician prior to your first session. 

    Adult Intake Form
    Child/Adolescent Intake (for Child)
    Child/Adolescent Intake (for Parent)
    Credit Card Authorization Form
    Informed Consent for Telehealth
    Limits of Confidentiality
    Cancellation Policy
    Phone Consultation Policy
    Notice of Precautions (COVID-19)
    In-Person Consent Form
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    Thank you to everyone that took the time to vote! We are honored and humbled.

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    Social Butterfly Counseling was voted 2018 Best Doc Office for 201 Magazine's Best of Bergen as well as receiving a nomination for New Jersey's Favorite Kids Doc Office for NJ Family Magazine! 

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    Thank you from the bottom of our hearts for the privilege of being a part of your journey. We are here for you always.

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    Sabrina L. Coppola, LCSW

    Founder and Clinical Director

    232 Madison Ave

    Wyckoff, NJ 07481

    (973) 310-2417

    Sabrina@socialbutterflycounseling.com