Want to get started? Let’s talk…

Please use the Contact Form on this page in order to:

If you are new patient, complete on Apply to be a Client form to your right to schedule a intake appointment.

Please note, an intake coordination application does not guarantee an intake appointment with a therapist. We look forward to hearing from you!

Apply to be a Client

Name *

First and Last Name

Email address *

Phone Number *

Date of Birth *

What health insurance do you have? *

If you are out of network, are you willing to self-pay or submit to your out of network benefits?

Tell us briefly what you would like to work on in your counseling?

Are you experiencing Active suicidal thoughts? *

Yes

Have you had previous inpatient mental health hospitalizations? *

Yes

Are you requesting a specific therapist within the practice? *

What location are you hoping to be scheduled at?

Clifton Park

Saratoga Springs

Queensbury

Virtual

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