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New Patient Form

Please complete the form below to learn more about our services. One of our care coordinators will speak with you to gather more information about how you are feeling and schedule you for an evaluation with a clinician. After the evaluation is complete, a recommendation will be made regarding the best clinical care for you.

With treatment, everyone can feel better. You’re not alone.

(212) 335-0034

    Providing us with this information will ensure we are able to discuss coverage and cost at the time of your call.

    Please provide the name and contact information of your referring provider, or your current OBGYN, Midwife, or primary care provider.


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    “This program has given me my life back. A new, more rich life with my son. I didn’t want to be in my life, I was trying to escape my reality, filled with regret. Now I have a life I could never imagine, with joy, excitement & connection with my son.” – Day Program Graduate

    “I came in feeling rejected by my baby and unable to care for her or myself. I’m leaving whole, able to care for my baby, myself, get back to work even.” – Day Program Graduate

    “When I first started the Day Program, I was suffering from radical mood swings and was frightened by the pattern of my thoughts. Being surrounded by like-minded women and a care team who were genuinely interested in helping has saved my life.” – Day Program Graduate

    “It is life-changing. It’s like a warm hug with friends you never knew you needed all working together to help each other.” – Day Program Graduate

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