SoS Appointment form
Please fill out the following form so we can figure out how best to help you.

  • Symmetry provides individual and couples counseling for adults 25 and up.
  • We do not take medicare/medicaid plans. 
  • We do not provide services related to workers’ compensation, FMLA, State short term disability, long term disability, or social security disability.
  • We do not provide psychiatric evaluation services.

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You are: *
Required
Where are you located?  *
What is your age? *
First Name *
Last Name *
Email *
Phone number *
What brings you to Symmetry? *
Required
Do you have a particular therapist in mind? *
Do you prefer in-person or telehealth services? 
(We are physically located in Woodbury, NJ)
 *
Symmetry only takes a few insurance plans. Our out-of-pocket fee ranges from $110-150/session depending on the therapist. How do you want to pay for your sessions? (WE ONLY TAKE THE INSURANCES LISTED BELOW, We no longer take BCBS plans and we do not take Medicare/Medicaid) *
Required
**We do not verify insurance benefits. Please call the number for behavioral health on the back of your card to check if we are in-network with your plan.**
This form will help you with what to ask
Our hours vary depending on the clinician. What times/days work best for you? *
Required
Do you or have you ever had involvement or investigations with the NJ Division of Child Protection and Permanency (DCPP)? *
How did you hear about us? Who referred you? *
We will get back to you
If you are in crisis please find your nearest emergency room or crisis center or dial 911 or 988. We will get back to you as soon as we can.

Our reply may occasionally land in spam or junk mail, so please check those folders if you don’t hear from us.
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