Complete the Release of information PDF form at home and bring it with you to your first visit.


Please feel free to call or text us if you have any questions at (212) 579-0339.

We can also accept your completed release of information form and questionnaire via email at This email address is being protected from spambots. You need JavaScript enabled to view it.

via fax at (212) 202-4187, or you can drop off or mail it to: 617 WEST END AVE, SUITE 1B, NEW YORK, NY 10024

Thank you, we look forward to seeing you.

footer contact information

617 West End Ave, Suite 1B

(side entrance on 90th Street)

New York, NY  10024


Phone and SMS: (212) 579-0339


Fax: (212) 202-4187

Office Hours:

Monday - Thursday, 9AM to 10PM

Paypal link:

Email Office

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