Connect with US here Name * First Name Last Name Email * Phone (###) ### #### How can we help? * Briefly describe why you are looking into therapy. Do you reside in NY, NJ, or FL? * Clients must reside in one of the three states to attend virtual therapy sessions with Hannah, and in NY/FL to meet with Associate Therapists. *Hannah is seeing clients on Tuesdays in person. NY NJ FL What is your current availability for weekly sessions? (i.e. mornings, afternoons, evenings) How were you referred? Which therapist are you interested in meeting with? Hannah Tishman, LCSW Ellen Fischel, LMSW No preference I acknowledge and understand that Hannah Tishman Psychotherapy, LCSW P.C. is not in-network with insurance and I will have to pay out of pocket and will be provided a Super-bill on a monthly basis to submit for reimbursement if I have out-of-network mental health benefits. I also may be eligible for a sliding scale depending on financial need. Thank you!