MARRIAGE AND FAMILY THERAPISTS OF NEW YORK
Begin Online Therapy
Information To Include
E-Mail Address where we will reply to you
Your Phone Number in case we need to contact you directly
Background Information to include:
Date of birth
Marital status and number of children with age
Brief description of the issue you wish to discuss
What you hope to gain as a result of our “talks?”
What you have tried thus far to solve this issue?
What else should I know about you?
Payment is required in advance of consultation.
To make a payment, please click on the Make A Payment
button below. The payment form will open up in a new
window. Enter your name as it appears on your card, along
with your billing address.I'm a paragraph. Click here to add your own text and edit me. I’m a great place for you to tell a story and let your users know a little more about you.
Complete the payment form ,including your payment amount plus the 5% service charge and click on the submit button.
Now we are ready to talk…
Please do NOT send us any information about your situation until arrangements have been made with your
consultant-therapist. We will try to respond to you within 24 hours. This response time might be slightly longer over weekends.
For more information call or E-Mail us at firstname.lastname@example.org