New Patient Request Form 
 Please fill out this form to be added to the contact list for new patient scheduling. We will be in touch soon. Thank you for your interest! Prior to being approved for a new patient visit, the following information is required.
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Email *
Name  *
Phone Number *
Give a brief summary of what you are looking for *
Give a brief summary of your symptoms *
Have you ever been hospitalized for psychiatric illness? If yes, please describe *
Please note that Dr Sosnow does not accept insurance and fees for each visit are due at the time of the visit. The initial evaluation is $375 and follow-up visits are $225. A superbill can be provided upon request. 
Please acknowledge by checking the box below
Please note that Dr Sosnow treats holistically and evaluates patients for all causes of their mental health issues including medical conditions that may be contributing to their problems. She uses some nonstandard labs that may not be covered by insurance
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