Mobile Counseling of New York
Get Started

Request a Session

Fill out the form below and a member of our team will be in touch to schedule your first session.

How It Works

01
📝

Fill Out the Form

Complete the request form below with your information and preferences.

02
📞

We'll Reach Out

A member of our team will contact you to discuss your needs and match you with a clinician.

03
💛

Begin Your Journey

Schedule your first session — in-home, telehealth, office-based, or school-based.

Client Information

Insurance Information

Address

Reason for Seeking Counseling

Session Preferences

Note: Male provider availability is limited and not guaranteed.

Additional Information

Who Completed This Form?

Hospitalization Follow-Up

School-Based Services

Your information is encrypted and protected. By submitting, you consent to having your information used for the purpose of scheduling and providing mental health services.

What to Expect

Your First Session

Starting therapy can feel like a big step. Here's what you can expect after you submit your request:

  • 1.Our intake team will call or email you within 1-2 business days.
  • 2.We'll discuss your needs, insurance, and scheduling preferences.
  • 3.You'll be matched with a licensed clinician who fits your goals.
  • 4.Your first session is a conversation — no pressure, no judgment. Just a safe space to start.
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