Out of Network Appointment

To schedule an Out of Pocket Individual, couples or family therapy appointment please fill out the form below or give me us a call on 516-274-9095. Please do not submit any Protected Health Information (PHI).

Choose Your Therapist

Name

Date of Birth

Phone Number

Email Address

Preferred Date

Preferred Time

Message

Acceptance

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls).

Connect with Me

I am so glad you are here. I would love to hear from you! Please contact me to schedule your free consultation and if I can help answer any questions you may have. I always try to respond within 24-hours.

Jinal Mehta, MA, MS , LMFT verified by GoodTherapy.org

SunMonTueWedThuFriSat

123456789101112131415161718192021222324252627282930123456789101112

SunMonTueWedThuFriSat

123456789101112131415161718192021222324252627282930123456789101112

Out of Network Appointment

Connect with Me

© 2025 Mind Over Matter - All rights reserved.