Wicker Psychotherapy - Your Wellbeing Is In Good Hands
Secure Scheduling Form
Please complete this multi-page form to schedule your first session. For general inquiries, complete our general contact form. To request a benefits estimate, complete our insurance card form.
 
If you plan to pay at least partially with insurance, you may find it easiest to complete this form on your smartphone as photos of your insurance card will be required on a subsequent page.
 
Please note that Wicker Psychotherapy is only offering telehealth sessions at this time.
Please acknowledge that emails and text messages should not contain sensitive information. * 🛈
Amy D. Wicker Psy.D. PLLC
274 Madison Avenue · Suite 905 · New York, NY · 10016
wickerpsychotherapy.com · (212) 405-2685