Regina Katz, LCSW | Eating Disorders, Women s Issues and Social Anxiety Disorder Counseling

Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Contact Information
199 Northwood Court
Jericho, NY 11753
Office Hours
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 7:00 pm
Thursday
8:00 am - 7:00 pm
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Contact Information
199 Northwood Court
Jericho, NY 11753
Office Hours
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 7:00 pm
Thursday
8:00 am - 7:00 pm
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Please complete the form below to schedule an appointment. I will try my best to accommodate your request and will be in touch ASAP.

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Regina Katz, LCSW | Women s Issues, Counseling for Anxiety and Eating Disorders
Contact Information
199 Northwood Court
Jericho, NY 11753
Office Hours
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 7:00 pm
Thursday
8:00 am - 7:00 pm

Areas Served: Nassau County, Suffolk County, New York City and Westchester

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Contact Information
199 Northwood Court
Jericho, NY 11753
Office Hours
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 7:00 pm
Thursday
8:00 am - 7:00 pm
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