What's your name?
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
I'm looking for sessions to be...
*
Virtual
In-Person (Manhattan)
In-Person (Garden City)
In-Person (Rockville Centre)
What times would you be available to meet for therapy? Please check ALL that apply.
Morning (8 AM-12 PM)
Afternoon (12 PM-5 PM)
Evening (5 PM-8 PM)
Weekends (Saturdays/Sundays)
How can we help? Please briefly describe why you are seeking therapy at this time.
How did you hear about us?
Online Search
My Current Therapist
Psychology Today
Friend or Family Member
Referred by Physician
Social Media
Google Business Listing
Other
***IMPORTANT INFORMATION ABOUT RATES***
Rates for therapy at NYBH range from $100-$250+ per session depending on the level of experience of the provider and the type of support your need. By submitting this form, you acknowledge that New York Behavioral Health (NYBH) does NOT accept any form of insurance and you will be billed directly for any scheduled therapy sessions.
Have questions about insurance?
Learn more here
.
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