+1 (917) 442-7592 megan@megangewitz.com

Helpful Forms

New Patients

If you’re a new client, please complete the following forms. The PDFs are fillable, so please save with your name as part of the file name. You may bring them to your first therapy session or email them per Megan’s instructions if your session is online.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Additional forms:

Note: To download Adobe Acrobat Reader for free, click here.

“There is a candle in your heart,
ready to be kindled.
There is a void in your soul, ready to be filled.
You feel it, don’t you?” 

– Rumi


Megan Gewitz, LCSW
Midtown West, NY DBT Therapist
Phone: +1 (917) 442-7592


119 West 57th St. Suite 1100
New York, NY 10019


Monday: 1pm–9pm

Tuesday: 1pm–9pm

Wednesday: 1pm–9pm

Thursday: 7am–5pm

Friday – Sunday: Closed

Megan Gewitz Psychotherapy