Your Rights and Protections Against Surprise Medical Bills
The Feeling Good Center
Secure Scheduling Form
To schedule your first session, please complete this multi-page form. For general inquiries, complete our general contact form. To request a benefits estimate, complete our insurance card form.
You may find it easiest to complete this form on your smartphone as photos of your insurance card are required on a subsequent page, if you plan to pay at least partially with insurance.
We ask you to please read How to Be Successful in Therapy to decide whether CBT sounds like a good fit for you before scheduling. *
How would you like us to communicate with you? *
Email Risk Acknowledgement & Use Consent *
Do you have any form of medical insurance (including Medicaid or Medicare)? * 🛈
Do you plan to pay for your sessions at least partially with insurance? * 🛈
Did you already provide your insurance information using our insurance card form*
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(914) 533-4950(212) 362-4490