Oliver Olwyn, LCSW-R, CSAT, SEPPsychotherapy · New York City 917-623-7778 Book Now

Patient Forms

Forms and payment for new and returning patients.

Intake Form

New patient intake information.

Download the intake form (PDF) →

Consent Release

Consent and release authorization.

Download the consent release (PDF) →

Payment Policies

Payment policies and terms.

Download the payment policies (PDF) →

Confidentiality Statement

Confidentiality practices and limits.

Download the confidentiality statement (PDF) →

Payment

Health Insurance: Out of Network

Pay By: American Express, Cash, Discover, Mastercard, Venmo, Visa, Zelle

Make A Payment

Office: West 148th Street and Broadway, New York, NY 10031

Questions first? Call 917-623-7778 or email oliverolwyn007@gmail.com.

Begin your journey today.

West 148th Street and Broadway, New York, NY 10031 · 917-623-7778 · oliverolwyn007@gmail.com

Book Now
If you are in crisis, call or text 988 (US Suicide and Crisis Lifeline) or call 911 in an emergency. This site is not a crisis service.