New Client Form

Michael J. Lamerato MS, LLP, LLPC

Please correct the errors described below.

Client Information

Hi there,

Thanks for your interest in therapy. Please fill out the form below and also pick your consult time with link at the bottom and we will meet from there to get you started. At this time, there may be a wait to get into evening appointments.

Thank you and I look forward to meeting with you!


Therapy History

I currently take the insruances listed here and also offer private pay rate of $130 per 50-minute session
***Thank you, lastly, use link below to schedule your free consult and then submit form.

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