Contact Us

The first step...

To initiate a 15-minute consultation (at no cost to you) or to schedule an intake appointment, pease complete the form below.

Contact Us

info@smallstepspsych.com

110 4th Avenue

Brooklyn, NY 11217

Name of Patient *
Parent/Guardian's Name (if patient is a minor)
Phone Number *
Email *
Patient's Date of Birth *

Relationship to Patient

 *
Does the patient have previous therapy experience? *
How frequently are you looking to meet? *
How would like to meet? *
Reason for seeking mental health services. *
Tell me a little about you (the patient). *
List 3 days/times we can call you for your consultation (Option 1). *
List 3 days/times we can call you for your consultation (Option 2). *
List 3 days/times we can call you for your consultation (Option 3). *

How did you hear about us?

 *