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Secure Contact Form
For general inquiries, please complete this form. To schedule your first session, complete our
scheduling form
. To request a benefits estimate, 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 (718) 260-6042
, Monday through Friday, 9:00 AM to 5:00 PM ET.
Your First Name
*
Your Last Name
*
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 consent to Cobb Psychotherapy therapists and/or office staff communicating with me by email
Your Email Address
*
How may we help 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