Programs Inquiry/Interest Form

Please fill out this form to help us start getting to know you.
Contact Details






Please include the '/ ' when entering the date or use the calendar function.


I agree to The Center’s SMS Terms of Service and have read The Center’s Privacy Policy. Message and data rates may apply. You can unsubscribe at any time by replying STOP to opt out.
Primary Address





Demographics










Center Services




Center Care Eligibility
At this time, you must currently reside in New York State in order to receive virtual counseling services.  If you do not currently reside in New York State, you will need to receive services in-person.
Housing
The Center does not offer on-site housing but can provide referrals and support around accessing affirming housing programs and services.


Relationship Counseling:
For Relationship Counseling, both partners will need to complete a separate intake, and then both partners will be assigned to one intake counselor. 

Family Counseling:

This specialized short-term program provides counseling related to conflict, concern, or questions about Sexual Orientation, Gender Identity, and Gender Expression, and is for parents, caregivers, and family members with LGBTQ+ children ages 5+.


All family members will need to complete a copy of this pre-intake form, as well as complete an intake session with an intake counselor at The Center. 



Information about Alcohol and Substance Use Treatment Programs
Center Recovery offers morning and evening support groups and services to clients Monday through Friday, from 10 AM to 7 PM.

Center Recovery accepts Medicaid, including Managed Care Plans, and private insurance (currently Cigna, GHI, Aetna, Empire Blue Cross Blue Shield, Value Options, and CHCS) in addition to out-of-network reimbursement and sliding scale payment options. Length of treatment is assessed on a case-by-case basis but generally lasts 6-12 months, with the first three months being more intensive.

An intake, psychosocial assessment, medical assessment, weekly individual counseling, and group sessions (3-5 days per week) are required for all participants.



Insurance Information








COVID-19

People are considered fully vaccinated if they meet one of the following requirements: 2 weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson's Janssen vaccine

Please choose the value that best describes your reason for not being vaccinated against COVID-19.

About You











Education and Employment





Housing and Income







For example, Monday and Wednesday afternoons, 3-5pm.
Mental Health Counseling Eligibility

Hello and thank you for your inquiry!


After reviewing your responses to our questionnaire, it seems you are unfortunately not eligible for our counseling services at this time. 


As a reminder, our eligibility requirements are as follows for individual counseling: 

1. Community members who are uninsured or have public insurance

2. Community members with private insurance who have an annual income of less than $50,000

3. Community members who are not already engaged in a similar supportive mental health counseling service. 


For a list of mental health referrals, please visit our list of mental health resources. 


For other questions about our mental health programming, please email: counseling@gaycenter.org

HIV Testing




Hello and thanks for your inquiry!

 

If this is a medical or psychiatric emergency, please go to your nearest emergency room or call 911.



If this is a medical or psychiatric emergency, please go to your nearest emergency room or call 911.


Due to high demand, we unfortunately have paused new intake inquiries. Please check back with us in July 2024 for an update.

Below is a list of other providers we recommend reaching out to for counseling services:

ICP (Institute for Contemporary Psychotherapy) Center for Gender and Sexuality
https://icpnyc.org/pcgs/treatment-services/

Gender and Sexuality Therapy Center
https://www.gstherapycenter.com/

IHI Therapy Center
http://www.ihitherapy.org/

My Therapy NYC: Pay what you can program
https://mytherapynyc.com/pay-what-you-can/

Lenox Hill Outpatient Center for Mental Health
https://meeth.northwell.edu/center-for-mental-health

Manhattan Alternative
Database of LGBTQ affirming clinicians
https://www.manhattanalternative.com/

Additional Documentation

Due to high demand, we unfortunately have paused new intake inquiries. Please check back with us in July for an update.