• Personal Information

    Individual Counseling - Adult
    Personal Information
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    • Additional Contact 
    • Your Information

      Please enter your information here if you are completing this form on behalf of someone else
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  • Insurance Information

    Tompkins Community Counseling is in-network with Aetna
    Insurance Information
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  • Preferences

  • Platform

    Platform

    Tompkins Community Counseling offers both Telehealth and In-Person options.
  • Clinician

    Tompkins Community Counseling understands the importance of a good fit. We will try our hardest to match you with the clinician of your choice. However, based on availability, there may be a waiting list for certain clinicians
    Clinician
  • Meet our Team

  • Issues to Address

    Issues to Address
  • Court Involvement

    Examples of involvement in a court case include, but are not limited to: Family court, divorce, workers' compensation, disability, criminal court, and drug court
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  • Mental Health Treatment

    • Additional Information 
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  • Suicidal Ideations

    • Additional Information 
    • If you are currently experiencing suicidal ideations and are unable to keep yourself safe, please call 911

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  • Schedule Your Phone Intake Appointment

  • During your phone intake appointment, we will:

    • Call your phone number at your scheduled appointment time
    • Answer any questions you may have
    • Work with you to finish setting up your client portal
    • Schedule your first appointment with your clinician

    If you are unable to keep your scheduled appointment time, you can use the link in your confirmation email to change your appointment. Or you can reach out to our intake worker Liz at (607) 220-7675.

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