* The Root Therapy NYC Inquiry Form *
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At The Root Therapy we like to think of the therapeutic relationship as a one-sided friendship: a safe space to talk about anything with someone who has your best interests at heart, knows just what to say, and can give you tough love when needed.
Full name w/ pronouns *
Email *
Phone# *
Type of treatment? Select as many as needed: *
Who needs treatment? Select as many as needed: *
Days for treatment?  Select as many as needed: *
Times for treatment?  Select as many as needed: *
Preference for Connectivity? *
Please select a therapist. We welcome you to view our team of experts' clinical background, level of expertise and specialty on our website: https://www.theroottherapynyc.com/team/  *
Briefly share your needs for treatment. *
Our practice is committed to making therapy affordable without compromising the quality of services. We work as an out of network provider with all insurance plans. Are you planning to use your out-of-network benefits to cover the cost of services?
We're so glad you're here! How did you find us? *
If selected "Another Provider/Direct Referral", would you please share their name and contact info?
Here at The Root Therapy NYC, our clinicians' primary therapeutic goals are to help guide you to “the root of the root”,  so that your life can be a flourish of possibilities!
Once submitted, a Clinical Intake Coordinator will contact you within 72 business hours to schedule your complimentary consultation. For additional information about our practice's services, we welcome and encourage you to contact us or visit below

Phone: 347-389-3920 (call or text)
Website: https://www.theroottherapynyc.com/
Email: contact@theroottherapynyc.com
Facebook: https://www.facebook.com/theroottherapynyc 
Instagram: https://www.instagram.com/theroottherapynyc/ 
Link Tree: https://linktr.ee/theroottherapynyc 
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