Registration | FREE Pregnancy and Postpartum Support

We provide family-centered and trauma-informed programs and case

management that supports infants, toddlers, and families. We deliver

services and programs for families of infants and young children who need clear

pathways to navigate and access the appropriate programs and services for themselves

and their children. 

We offer in-person and virtual perinatal counseling for individuals in New York City the course of pregnancy, labor and birth, postpartum, and lactation and infant feeding support. All support and services are FREE.


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Email *
First Name

Last Name

Date of Birth
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/
DD
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YYYY
Age
Zip Code
Race/Ethnicity
Gender
Are you currently pregnant?
Are you currently postpartum? (Have you delivered in the past 3-5 years?)
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Best Phone Number
Email Address
If interested in home visiting, newborn support or in-person check-ins, please share your physical address. 
I need perinatal mental health support.
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I need parenting support.
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How would you describe your needs? (Select All That Apply)
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How frequently would you like to have sessions?
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What is the best day for you to meet? 
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What is the best time of day for you to meet? (Sessions will be 45 mins - 1 hour)
How would you describe your needs in your own words?
What kind of support do you with you had? What kind of care can you benefit from?
Do you have access to a computer or smart phone for tele-health sessions?
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What insurance type do you have? (All consults are provided free of charge) 
Do you have children? 
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Please contact me to set up 1-1 weekly consults 
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Please contact me about group support, circles, counseling
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Anything else you would like us to know? 
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