CP Contact

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 *

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 consent to Cobb Psychotherapy LCSW therapists and/or office staff communicating with me by email

Would you like to receive updates by email about new services?

Yes, I would like to receive updates by email from Cobb Psychotherapy LCSW about new services being offered to clients

How may we help you? *

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