New Client Intake
Before You Begin — Here's How It Works
Share a little about yourself so we can thoughtfully connect you with the right support. If you are an existing client, please email us at [email protected] or call 914-221-3200 instead.
1
Tell Us About Yourself
Help us get to know you — your contact info, insurance, and a photo of your insurance card.
2
Registration & Insurance Verification
Our Client Care team will review your request and verify your insurance coverage.
3
Client Signs Consent & Agreement
You'll receive secure intake paperwork to review and sign electronically.
4
Your Appointment Will Be Scheduled & Confirmed
Once all steps are complete, your first session is confirmed and your care begins.
What you'll need: Your insurance card (front & back photo), primary insurance member ID, and the name and phone number of an emergency contact. This form takes approximately 5 minutes to complete.
Already a client? Email us at [email protected] or call 914-221-3200 — do not submit this form.
We've Got You.
We'll Take It From Here.
Thank you for trusting SHIFT Your Journey® with your care. Our Client Care team will review your information and reach out to guide you through each next step.
Explore Free Resources While You Wait →Resources
Call 911 or go to the nearest emergency room if you or someone you know is experiencing a crisis.
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Office Locations
CT, FL, MA, NJ, NY PA & TX - USA