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Requesting Counseling Services

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Please click here to Request Services; you will receive an email response.

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You always have the option to call me and leave a voicemail at (732) 567-2009.

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When my office contacts you, you will receive an email link to the TherapyPortal (HIPAA compliant)to download the intake paperwork. You can then fill it out and sign the necessary documents and permissions via e-sign; it is time-sensitive. 

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You can also print the paperwork to fill it out; however, you will still be asked to e-sign documents, payment authorizations, consents, and HIPAA forms. 

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1044 Lacey Road, Forked River NJ 08731
14 Church Street, Little Silver NJ 07739

click to call 732-567-2009

By using this site, you consent to be contacted by the information you provide and all office policies.

Email & this website are not considered HIPAA compliant nor confidential and if this is an emergency please Dial 911.

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