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Forms

Individuals or Couples please print out, complete, and bring the following 3 forms with you.   

1) Client Intake Form

2) Confidentiality Form

3) Cancellation Form

I will give you a bill monthly to submit to your insurance company or to keep for your records.  


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

Contact Me

Two Great Locations

New York, NY and Westport, CT

Availability

Primary

Monday:

12:00 pm-7:00 pm

Tuesday:

12:00 pm-7:00 pm

Wednesday:

2:00 pm-6:00 pm

Thursday:

12:00 pm-7:00 pm

Friday:

8:30 am-10:30 am

Saturday:

Closed

Sunday:

Closed