Contact Us

Welcome! We’re delighted that you’ve found us.

Thank you for considering us for your therapy needs! We are excited to help you on your journey towards well-being. To get started, please fill out the form on this page. Once we receive your information, we’ll reach out to schedule a free 15-minute consultation to discuss your needs and how we can best support you.

All information provided is confidential. We look forward to connecting with you soon!

Name

Phone

Date Of Birth

Address

(Must live in PA or NJ)

Confidentiality

Are you comfortable with us leaving a message identifying ourselves as a therapy office at the phone number you provided?

Yes

When is the best time to contact you? When is the best time to contact you?

What brings you to therapy?

How did you hear about us?

Insurance Disclaimer

I understand that the therapists at The Therapy Gal are not in network with any insurance provider. We do, however, offer Superbills for out-of-network reimbursement.

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