Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

    • Client Intake Form
    • Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

    • Consent to Release Information Form


Client Intake Form



Confidentiality and Cancellation Policy



Consent to Release

Note: To download Adobe Acrobat Reader for free, click here .

Dr. Charlena Sears
(973) 755-1882

Montclair Center
Psychotherapy

460 Bloomfield Ave
Suite 209
Montclair , NJ 07042
[email protected]

Dr. Sears provides counseling and psychotherapy for clients of all ages from a variety of backgrounds.
Specialty areas include anxiety, depression, bereavement, coaching, and life transitions.

verified by Psychology Today

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Proudly serving Montclair, New York, Livingston, The Oranges, Maplewood, Bloomfield, The Caldwells, Newark, Verona, Bergen County, Union County, Passaic County, and their surrounding communities.