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Welcome!
Please fill out this form to get matched with a therapist. It only takes about 5-10 minutes and we'll email you the information straight to your inbox.
14
Questions
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1
What areas are you looking to explore in therapy?
*
This field is required.
Select as many as you would like.
Anxiety & Significant Life Changes
Depression and/or Negative Feelings
Gender and Sexuality
Relationships with Friends, Family, and Partners
Obsessive or Compulsive Thoughts/Behavior
Cultural Identity
Academic/Career Stress or School/Work Transitions
Life in General
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2
Please tell us about you and what you're hoping to work on in therapy
*
This field is required.
The more details you share with us, the more personalized recommendations we're able to provide.
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3
Are you interested in a specific type of therapy?
(I.e. "I'd like to learn about treatment for anxiety," "I want something more structured that provides homework like CBT," "I'm interested in ERP")
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4
Is this your first time seeking therapy?
*
This field is required.
Yes, this is my first time
No, I've been to therapy before
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5
Would you like your therapist to have expertise in certain areas?
Select all that apply
Anxiety
Depression
LGBTQIA+
OCD
Immigration/Acculturation Concerns
BIPOC and/or Race-Related Concerns
Trauma or Traumatic Experiences
Mindfulness/Meditation
Young Adult Concerns
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6
Therapists at our practice are not in-network with any insurance panels. However, if you have out-of-network benefits, your insurance may reimburse you.
*
This field is required.
The actual amount you receive will depend on your individual plan, and after you meet your deductible. If you’re unsure, we'll be happy to check on this with you.
I know my out-of-network benefits will cover therapy
I'd like to learn more about using my out-of-network benefits
I will be paying out of pocket for therapy
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7
We charge the NYC market rate for therapy sessions, and may have a limited amount of sliding scale or reduced rate. Fees range from $125-$400, depending on the therapist.
*
This field is required.
Please select all of the fee ranges you're comfortable with.
$125-$175
$175-$225
$225-$275
$275-$325
$325+
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8
How would you like to meet with your therapist?
*
This field is required.
In Person
Virtual/Telehealth
Hybrid
No Preference
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9
What's your preferred email?
*
This field is required.
Your personalized therapist matches will be sent via email.
example@example.com
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10
How would you first like to connect with your therapist matches?
*
This field is required.
Therapists will only contact you via your preferred communication method.
By email only
By phone only
By email or phone
I'll reach out on my own terms
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11
What's your preferred phone number?*
*
This field is required.
Your therapist matches will call you at the number you provide.
Please enter a valid phone number.
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12
How should we address you? Please feel free to provide your name, an alias, or just your initials.
*
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13
What are your pronouns?
*
This field is required.
She/Her
They/Them
He/Him
I prefer being referred to by name
Other
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14
How did you hear about us?
*
This field is required.
Google
PsychToday
A Physician, Psychiatrist, or other provider
Clarity Therapy/Clarity Health + Wellness
OCD Directory
Zencare
Friend, Family Member, or Colleague
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