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LETTER TO NEW CLIENTS


Welcome to Counseling Services of Long Island!


With more than 20 years of success operating a Clinical Social Work practice with high-impact results,

Counseling Services of Long Island is a highly regarded and trusted resource for clients and therapists alike throughout the region.


We are known for our professional skills, and our compassionate and non-judgmental approach

in helping clients achieve positive change, happiness and emotional well-being.

Our outstanding team of psychotherapists are licensed, trained, and highly experienced in providing specialized and solutions-based psychotherapy to individuals, families, and couples on a wide variety of issues. We provide individualized services and are committed to treating each and every client with unconditional positive regard.


Out of an abundance of caution and our strong commitment to meeting the needs of our clients (inclusive of your safety and ours), we will continue to provide alternative counseling formats where appropriate (via Telehealth) to alleviate the need for in-person contact.  


We look forward to 'seeing' you soon!


Best regards,


Penny Siegmann, LCSW-R 

Owner

Counseling Services of Long Island, LCSW PC


2021 FORMS (for New Clients - Children/Teens - Under 18)

Please 

Review, Sign & Return: 

via Confidential Fax (516-804-0448), 

Mail (54 Chicago Ave, Massapequa NY 11758), 

or Drop-Off to the Massapequa office. 

(If drop-off, please put in a sealed envelope, and leave in the mailbox, or place envelope in a bag hang 

on the inside of the front house door.)


Child Packet (< 18)

(Please include a copy of your Insurance Card!)

Click Here


2021 FORMS (for New Clients - Adults - 18 and Over)

Please 

Review, Sign & Return: 

via Confidential Fax (516-804-0448), 

Mail (54 Chicago Ave, Massapequa NY 11758), 

or Drop-Off to the Massapequa office. 

(If drop-off, please put in a sealed envelope, and leave in the mailbox, or place envelope in a bag hang 

on the inside of the front house door.)


Adult Packet (18+)

(Please include a copy of your Insurance Card!)

Click Here


PAYMENT OPTIONS 

For your convenience, we've streamlined session fee/copayment options

to include the use of the following services...


IvyPay 

(Credit Card/HSA/FSA):

​www.TalkToIvy.com


Ivy Pay is a smart phone-based payment system designed to be used with your credit card, HSA or FSA card. Stays on file for future payments. Free and easy.


("HIPAA-secure")



Zelle Pay

(ATM/Debit):

www.ZellePay.com

Code 5165286712

"Zelle is a free and easy way to send money directly between almost any U.S. bank accounts."


***This option is only for clients NOT using Health Insurance Plans***


("Not HIPAA Compliant")


Mail a Check:

You may mail a check to: 

54 Chicago Avenue

Massapequa, NY 11758

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