Treatment Application

For an application (.DOC file - MS Word - type-in form) for treatment click here.

For an application (.PDF file - Adobe Acrobat - type-in form or print and fill out by hand) for treatment click here.

If you do not have Acrobat 7, you may have problems typing into this form. If problems occur, please print out the blank form, hand write your information, and fax it to the office.

The forms available on this website are PDF (Portable Document Format) files, which means that you must have Acrobat Reader in order to view and/or print them. Acrobat Reader can be downloaded (at no cost) from Adobe’s website at www.adobe.com.

NOTE: If you already have Acrobat Reader installed on your computer, there is a new version available for download. This may increase the efficiency of your download.

Download Adobe Acrobat Reader here

PROBLEMS VIEWING ACROBAT FILES?

Application Fee

To remit the $50 application fee by check or money order, mail to:
NYU Psychoanalytic Institute ▪ 400 East 34th Street OBV CD 230 ▪ New York, NY 10016.

To remit by web (PayPal, credit, debit, e-check), go to our payment section here and click “Pay Now.”