Contact — AFA Psychology LLC

Let’s Connect

You can request an initial consultation appointment by using the following form:

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Gender

State of Residence

Referring Party

Who referred you to my practice? i.e. health insurance directory, a friend, psychology today, Google?

Message

What would you like me know about you? Is there something about my practice in particular that feels significant given your current therapy needs?

Payment/Insurance Coverage

How do you plan to pay for services? If you have insurance coverage please provide insurance company provider name(s) as well as any plan to use in-network or out-of-network benefits.

Availability

Please list days/times you are able to attend weekly or biweekly therapy sessions.

Wait List

In the event my practice is full, are you interested in being added to my wait list? Note that only non-urgent issues are appropriate for this option.

I generally respond to messages within 2-5 business days. If you have an emergency and require urgent care, please contact emergency services.

E-mail: angie@afapsychology.com

Telephone: (646) 863 - 5379

Fax: (646) 974 - 8827