Match With a Therapist at Insight Therapy NYC

1

Thank you for reaching out to us!

We've recently updated our client matching process, and this form is no longer accepting submissions. To ensure our concierge specialist can assist you as quickly as possible, please complete our new Client Matching Form.
2
What areas would you like to work on in therapy?* This field is required.
Anxiety and/or Depression
Trauma or Traumatic Experiences
Relationship concerns in Couples Therapy
Relationships with Friends, Family, and Partners
Concerns About Health
Academic/Career Stress
Concerns About Race, Social Injustice, or Cultural Identity
Concerns About Gender or Sexuality
Sex and Intimacy Concerns
Life in General
3
Is this your first time seeking therapy?* This field is required.
Yes, I'm new to therapy
No, I've been in therapy before
4
Tell us about yourself and what you'd like to work on in therapy, including any specific therapy types or expertise you're seeking.The more you share, the more personalized recommendations we're able to provide.
0/100
5
Please select the fee range you are comfortable with* This field is required.Therapists at our practice are only in-network with Northwell Insurance Tier 1 plans. However, if you have out-of-network benefits, your insurance may reimburse you.
$125-$150
$150-$200
$200-$225
$225 and above
I need options under $125 per session
I have Northwell Insurance and would like to learn more about in-network (Tier 1) options for Individual Therapy
6
In which state do you reside?* This field is required.
Please Select
Please Select
NY
NJ
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
7
Which session format works best for you?* This field is required.Therapists must be licensed in the state where the client is located for virtual sessions.
Any format
Mix of in-person and virtual sessions
Virtual/telehealth sessions
In-person sessions in NYC
8
Which times work best for therapy sessions?* This field is required.Please select all that apply.
I’m flexible
Anytime between 9am-5pm on weekdays
Before 9am on weekdays
After 5pm on weekdays
Weekends
9
Do you have any preferences regarding the identity or background of your therapist?Please select any that apply to you. If you have no specific preferences, choose 'No preference'.
No preference
Male
Female
Non-Binary
Transgender
BIPOC (Black, Indigenous, and People of Color)
LGBTQIA+
10
What's your preferred email?* This field is required.Your personalized therapist matches will be sent via email.
example@example.com
11
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.
Via email only
Via phone call only
Via email or phone
I prefer to contact my therapist matches myself
12
What's your preferred phone number?* This field is required.Your therapist matches will call you at the number you provide.
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Please let us know if there are any additional precautions we should take when calling you:* This field is required.Calls will always be discreet, but please let us know if there are any additional precautions we should take when contacting you in case we aren't connected with you immediately.
Ok to leave a voicemail or identify self to the person who answers
Do not leave a voicemail
Do not identify as provider to person answering
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Please share your name (or alias/initials):* This field is required.
15
What are your pronouns?
She/Her
They/Them
He/Him
I prefer being referred to by name
Other
16
What is your age?* This field is required.If you're filling out this survey on behalf of someone else, please select their age.
Under 18
18-24
25-34
35-44
45-54
55-64
65 or over
17
How did you hear about us?* This field is required.
Google
Chat GPT
Clarity Therapy NYC - Find a Therapist website page
PsychToday
My Physician or Psychiatrist
Friend, Family, or Colleague
A current or former Insight client
Instagram
LinkedIn
Facebook
Other
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Who referred you to Insight Therapy?If you feel comfortable, please share the name of the person who told you about us.
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