Secure Contact Form
For general inquiries, please complete this form. To schedule your first session, complete our
. 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
, 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 LCSW therapists and/or office staff communicating with me by email
Your Email Address
How may we help you?
Cobb Psychotherapy LCSW
450 7th Avenue, Suite 809 • New York, NY 10123
26 Court Street, Suite 401 • Brooklyn, NY 11242
154 West 14th Street, 2nd Floor • New York, NY 10011