Please complete this form if interested in becoming a new patient. Once completed, you will hear back from us in 24-48 hours to schedule. 

As a new client with ECS Psychological Services, P.C. we require an online intake packet to be completed before an intake is scheduled. This will allow us to secure your benefits and any prior authorization needed. To complete this form, please call our intake coordinator or email from the link below and we will email you the appropriate forms. We will be in touch with you once the forms are completed, submitted and reviewed.  Feel free to contact us with any questions along the way. 

(518) 580-0520 ext: 101