WNY Psychotherapy Services has created this online intake form for your convenience. If you choose to fill in your information online, please be aware that WNY Psychotherapy Services in Orchard Park does not share your information. Entry of your information is optional and if you choose not to enter such information, you can call our intake department directly. Once your information has been submitted online, we will contact you within 24 hours to schedule your appointment. Please note, the more information you submit, the easier it will be for us to schedule you. Also, please indicate a time and day that works best to contact you.
Telehealth Therapy is Available!
Adult Intake Form
Please click here if you are a patient 18 years and older.
Child/Youth Intake Form
Please click here if you are a parent requesting an appointment for a patient 17 or younger.
ORCHARD PARK
70 LINWOOD AVE.
ORCHARD PARK, NY 14127
PH 716-675-9232
FAX 716-675-9217