I will be seeing new clients after May 15. If you’d like to schedule a session with me, please provide your information in the form box, and our intake coordinator will contact you the next steps and answer any questions you have about fees.

If you have further questions, please contact ReEnvision Marriage & Family Therapy at 646-450-9972 or email Contact@ReEnvision.life.

Name

First Name

Last Name

What state do you reside in?

Please share a little bit about what is bringing you to therapy at this point in your life:

Tell me about some of your hopes and goals for therapy:

How did you hear about Therapy with Shawn?

If you indicated "Referral" or "Other" above, please tell us more:

Telehealth and Out-of-Network Insurance Disclaimers

I understand that all therapy sessions with Shawn are conducted virtually via a secure telehealth platform.

I understand that therapy with Shawn is out of network with my health insurance. I can contact my insurance provider to determine whether out-of-network reimbursement is available.

Working with BIPOC professionals who struggle with overwhelming life transitions to feel empowered and capable of change.

Offering telehealth to clients residing in the states of New York through:ReEnvision Marriage & Family Therapy, PLLC
40-03 164th Street #580161 Flushing, NY 11358
Phone: 646-450-9972

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