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Request Your TeleHealth Appointment

Dr. Adam Klein will review your preferences and contact you to confirm your appointment time.

Important Notice

This appointment request is not for emergency purposes. If you are experiencing a mental health emergency, please call 911 immediately or contact the National Suicide Prevention Lifeline at 988.

Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

Mailing Address *

City *

State *

ZIP Code *

Tell Dr. Klein About Your Situation

What brings you to seek counseling at this time? * (0/200)

What are your main goals for therapy? * (0/200)

What are the main challenges you're currently facing? *

Have you had therapy or counseling before? *

How urgent is your need for support? *

Additional Information

Payment Information

Self-Pay Service: Dr. Klein operates on a self-pay basis. You will receive a detailed receipt for insurance reimbursement purposes. Please check with your insurance provider regarding out-of-network benefits.

Request Your TeleHealth Appointment

Important Notice

Contact Information

Scheduling Preferences

Tell Dr. Klein About Your Situation

Payment Information