The New School – Appointment Request

We make it easier to get help.

Connect
With SOL

Complete our simple intake form to be connected with a SOL Care Coordinator.

Get Matched With A
SOL Provider

Your Care Coordinator will match you with a provider who meets your needs and has availability to fit your schedule.

Attend Your First Appointment

During your first appointment your provider will outline a unique care plan created for you.

Get Started With SOL

If you are a student at The New School and would like to book an appointment with us, please fill out the form below, or contact (929) 345-1915 for further information.

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Market

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Market (lead_source)

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Referral type

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Inquiry Date

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Date of Birth(Required)

Student ID #(Required)

What are you seeking help with? (Select all that apply)

Insurance Company(Required)

Preferred Location(Required)

Insurance Company(Required)

Preferred Location(Required)

Insurance Company(Required)

Preferred Location(Required)

Insurance Company(Required)

Preferred Location(Required)

Insurance Company(Required)

Preferred Location(Required)

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Insurance Company - Hidden

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Preferred Location - Hidden

Visit Preference(Required)

Type of Care:

Therapist

Psychiatric Provider

Anything you'd like for us to know?

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Services Requested:

Therapy

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Services Requested:

Medication

Consent(Required)

By providing your email and phone number, you consent to receive emails, phone calls, and/or text messages from SOL Mental Health. By providing a telephone number and submitting this form, you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.

SOL Mental Health adheres to HIPAA compliance and safeguards your personal information. However, we are not responsible for cyberattacks or interference. If you are experiencing an emergency, please dial 911 or visit this page for more resources.