Secure Contact Form
For general inquiries, please complete this form. To schedule your first session, complete our
. To request a benefits quote, complete our
insurance card form
With your consent below, we will respond to your general inquiry by email. If you would prefer to not communicate with us by email, you may instead
call us at (212) 227-4343
, Monday through Friday, 9:00 AM to 5:00 PM ET.
Your First Name
Your Last Name
Your Email Address
Email Risk Acknowledgement & Use Consent
I understand that the use of email is inherently insecure and thus poses a risk to the security and confidentiality of my protected health information and I consent to A Good Place Therapy therapists and/or office staff communicating with me by email
How may we help you?
A GOOD PLACE THERAPY & CONSULTING
225 BROADWAY • SUITE 2010 • NEW YORK, NY 10007 • UNITED STATES
• (212) 227-4343