Name * First Name Last Name Email * Phone * (###) ### #### How did you hear about us? Google Search Friend Another professional Flyer Social Media If you found us through Google, what search terms did you type in? What are you looking for help with? * What (if any) insurance do you have? * We take Cigna. For all other insurances, we can provide a detailed receipt for you to file for out-of-network reimbursement. I am aware that: * Your practice is completely online. Your approach is active and requires learning tools in session and practicing the tools for therapy homework in order for me to get better. You can only treat people who are currently in New York State Thank you!
