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Secure Contact Form
For general inquiries, please complete this form. To schedule your first session, complete our
scheduling form
. You may also call us at
(718) 260-6042
.
Your First Name
*
Your Last Name
*
How would you like us to communicate with you?
*
Email
Phone
Email Risk Acknowledgement
*
I understand that the use of email poses a risk to the security and confidentiality of my protected health information and would still like Cobb Psychotherapy therapists and/or office staff to communicate with me by email
Your Email Address
*
Your Phone Number
*
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How may we assist you?
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Cobb Psychotherapy LCSW
300 Cadman Plaza West, 12th Floor • Brooklyn, NY 11201
450 7th Avenue, Suite 809 • New York, NY 10123
109 South 5th Street • Brooklyn, NY 11211
154 West 14th Street, 2nd Floor • New York, NY 10011
cobbpsychotherapy.com
(718) 260-6042