Treatment Application

Download the application

* You must have Adobe Acrobat Reader in order to view and/or print this file. Acrobat Reader can be downloaded (at no cost) from Adobe’s website at www.adobe.com.

Submit your application

The Institute for Psychoanalytic Education abides by HIPAA privacy guidelines, which means that after we receive your application, we will treat it with the utmost care in order to respect your privacy. As an applicant to our Treatment Services, you may email your application to our office, with the understanding that email is not a private or secure system.

You may fax your application to our confidential, private fax line. We will begin to process your application upon receipt. You may also mail your application to the address below.
Email: nyu.pi@med.nyu.edu

Fax: 646-754-9540

Mail:
Institute for Psychoanalytic Education
NYU Department of Psychiatry
One Park Avenue, 8th Floor
New York, NY 10016

Treatment services are not provided at our administrative offices.