Port Jervis Clinic

The Port Jervis Clinic specializes in Mental Health and Co-Occurring Disorders (Mental Health / Addiction) treatment utilizing rapid or walk-in intake capacity. The Clinic provides a wide array of Evidence Based Therapies to adults and children, and Clinic Case Management services are available to assist with insurance, scheduling and advocacy issues.

Same Day Access Hours

Monday through Friday 9:30 AM - 10:30 AM
Tuesday, Wednesday, and Thursday 1:30 PM - 2:30 PM

Web based Application for Service Form

Clinical Forms

  1. Client Financial Statement (PDF)
  2. General Application (PDF)
  3. Notice of Privacy Practices (PDF)
  4. Partnership Agreement (PDF)

Clinical Forms en Espanol

  1. Client Financial Statement en Espanol (PDF)
  2. General Application en Espanol (PDF)
  3. Notice of Privacy Practices en Espanol (PDF)
  4. Partnership Agreement en Espanol (PDF)