Book an Appointment

Please complete the form below to request an appointment. The information you provide helps me prepare for our conversation, verify insurance or out-of-network benefits when possible, and confirm whether scheduling availability is a good fit.

Your full name

last name

Best email and phone number

To help me respond efficiently, please include:

Who the therapy is intended for (yourself, your teen, partner, or family — include parent/guardian name if applicable)

Client date of birth (required for insurance verification & OON benefits)

Client home address (required for insurance verification & OON benefits)

Preference for in-person or virtual sessions

Type of service you’re seeking (individual, couples, family therapy, intensive therapy etc.) 

Insurance preference or self-pay/ OON preference

General availability for appointments

Prefer not to send this inquiry with all this information right now?
 You’re welcome to text the business line instead.
 📲 Text (914) 298-7003 and follow the instructions on the Text Us page.

Privacy note: Please avoid sharing sensitive or clinical information in this form.

You’ll receive a response within 24 hours or less.


By submitting this inquiry, you consent to receive phone calls, text messages, and emails from Merry Alijoski Marriage & Family Therapy regarding your request and acknowledge and agree to our Privacy Policy (see links below on the homepage).