Appointment Request With Melanie Joaquin at Practical Online Therapy

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Intake or consult request with Melanie Joaquin, MHC-LPMelanie is available Wednesdays 10am-10pm and Fridays 10am-4pm, virtually, for clients in NY & NJ. Click the right arrow below to continue.

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Full Name* This field is required.

First Name

Last Name

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State where most virtual sessions will be attended from* This field is required.Our therapists are licensed in NY & NJ only, so they can only see clients virtually in one of those states.

New York

New Jersey

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Intake or Consult?* This field is required.

I would like to get started right away: I'd like an intake.

I would like to take my time and interview the therapist first: I'd like a 20 minute video consult.

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Session Type* This field is required.

Individual

Couples

Family

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Other Adult Participant's Name* This field is required.

First Name

Last Name

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Payment Type (Insurance or Private Pay)* This field is required.

Aetna Insurance (In-Network)

Meritain Insurance (In-Network)

First Health (Not Healthfirst) Insurance (In-Network)

Private Pay/ No Insurance/ Out-of-Network

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Days and times you're available* This field is required.

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Book a 20 Minute Consultation with Melanie

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Book a 45 Minute Intake with Melanie

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Book a 60 Minute Intake with Melanie

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Brief description of your reason for starting therapy at this time* This field is required.

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Contact Number* This field is required.

Please enter a valid phone number.

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Email Address* This field is required.

example@example.com