Intake Packet

Please print and complete the following intake forms to bring with you to your first appointment. If using insurance, please visit https://obriensbilling.com/ and complete the PATIENT INTAKE QUESTIONNAIRE to submit your insurance plan information.

Please Email for an ISTDP APPT. ALL other slots are filled.

Thank you for inquiring! I am tele-therapy only at this time and practicing in NEW YORK state.

You must be sitting in NY during our session, FYI, per NYS licensure laws. Best way to contact me and receive a reply is email, as returning phone calls are not optimal at this time. I expect June 2022 openings for treatment as usual, and specialized ISTDP is a wait-list, tbd. Thank you for inquiring!