Appointment | Welcome to Avita Integrative Care. The forefront of a comprehensive mental health practice

Dear prospective client, thank you for reaching out to Avita Integrative Care. We are honored that you chose our private practice and will be happy to schedule an appointment for you as soon as possible. To help us with scheduling, please respond to the following questions:

Full Name:

Date of birth:

Email address:

Mobile phone number:

Which state do you reside in?

Do you have health insurance? Please provide health insurance below:

Do you prefer most of your therapy sessions to take place in-person or virtually using telehealth technology?In PersonTelehealth

Although sessions are conducted over the internet using video-calls, please select the office location to match where you would be located at the time of the meetings:New YorkNew Jersey

What office location are you looking to book your session in: New YorkNew Jersey

In a few sentences but without any personal details, please share with us the reason you are contacting us today:

Are you looking to pay for your visit using health insurance or cash? CashHealth insurance

If using insurance, please state what type of health insurance:

Thank you for answering these questions. We look forward to getting you scheduled at the earliest availability. If you have any follow up questions, please feel free to call our office (888) 242-2732

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