Begin With a Conversation

You do not need to know exactly what type of therapy you need before reaching out.
Use the form below to briefly explain what has been happening, who is seeking support, and the best way to contact you.

Phone:

123-4567-890

Email:

dummy@irina.com

Location:

NY, United States

You Do Not Have to Have the Perfect Words

Consent checkbox
Please do not include highly sensitive medical information in this form. Submitting the form does not create a therapist-client relationship.

What Happens Next

After receiving the inquiry, the practice may contact the prospective client to gather additional information, answer basic questions, and discuss whether the practice appears appropriate for the situation.

If a different provider or level of care is needed, Irina may recommend that the person seek a more appropriate service.

Emergency Notice:

This form is not monitored for emergencies. Irina Jodzio Therapy does not provide emergency or 24-hour crisis services. If you or someone else is in immediate danger, call 911 or go to the nearest emergency room.