Jerome Kogan

Jerome Kogan

Specializing in PreMarital Counseling

646-392-8321

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Helpful Forms

Please complete the following forms and bring them to your first therapy session if you are a new client of D. Jerome Kogan’s. These will help ease you into the psychotherapy process.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you feel that you need to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), that is absolutely doable. Just complete the below form and we can have that arranged.

  • Authorization to Disclose Information Form

 

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Address

1070 Park Avenue
Suite 1B
New York, NY 10128

CONTACT

646-392-8321
drjeromehkogan@gmail.com
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