NYC-Based Social Worker

Use the form below to contact me regarding your interest in therapy, consultation, training, or research collaboration. Please be as detailed as possible. Include your background along with any specific requests you might have.

Name

First Name

Last Name

Current Pronouns

That you would like me to use to refer to you (optional)

How old are you?

(you can reach out either way, this is just helpful to know)

18+

Under the age of 18

Email Address

Telephone

(required for prospective gender-affirming surgery letter clients)

Are you a New York Resident?

(required for prospective gender-affirming surgery letter & therapy clients)

Yes, I live in NY

No, I live outside of NY

How did you hear about me?

If you were referred, who referred you?

If other, explain:

Subject

Message

Get in Touch