Ready to Start Therapy?
We prioritize personalized care from the very beginning
Choose one of the following options to reach out:
*Go to our Therapists page and contact a therapist directly if you know who you want to see
*Text THERAPY to 610-392-6362 to schedule a call back
*Email the information requested below to [email protected] to be matched to a therapist
*Only Drs. Hartigan and Levine have access to this email inbox
*When they reply, they will cc the therapist they recommend
Full legal name:
Preferred or chosen name:
Date of birth:
Email:
Phone:
Address:
Health Insurance(s):
Attach pictures of the front and back of any and all insurance cards, including Medicare and Medicaid
Type of therapy requested and goals:
Example: I am seeking individual therapy for anxiety
Days and times you are available for appointments (Mon-Fri):
Our clinicians have limited after-school and evening hours, please provide as much availability as possible
If you want in-person sessions:
All of our providers offer HIPAA-compliant online video telehealth sessions while in-person sessions are limited to only certain providers
How you heard about us:
Parent/guardian name:
Please complete if you are submitting information for a minor
If there is shared legal custody, we will need a copy of the court order prior to treatment starting for new clients under age 14
By using email, you acknowledge it is not encrypted or encoded and is not considered confidential
