Request appointment | Dr. Jeffrey Weisslitz PsyD LPC

Dr. Jeffrey Weisslitz PsyD LPC

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Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Substance use Trauma Other

What kind of care is being sought?

Psychotherapy Medication Other Not sure

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Were you referred for therapy and by whom? Please add their information and if you want them involved in your care.

How did you find out about the practice?

Psychology today, insurance website, google search, etc

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Dr. Jeffrey Weisslitz PsyD LPC

New Jersey and South Carolina

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.