To get things started, to get more information or to discuss your needs, you may call me at my office at 908-222-1099. You can also download this form, and mail it to me at:

Dr. Janie Feldman
Mountain Psychological Group
27 Mountain Boulevard, Suite 1B
Warren, NJ 07059

Be sure to include contact information, including your name and phone number, so I can contact you promptly.

• Intake Form - Adobe Acrobat Format (pdf)
• Intake Form - MS Word Format

Janie L. Feldman, Psy.D.
Licensed Psychologist #3481
27 Mountain Boulevard, Suite 1B, Warren NJ 07059
Telephone: 908-222-1099
copyright 2004 All rights reserved

Disclaimer: The information on this web site is for informational purposes only. Your use of this web site does not create a professional relationship between you and Dr.Feldman, nor is it intended to provide psychological advice or treatment. Dr.Feldman does not provide psychological services on-line or through this website. If you would like to schedule an appointment, please call 908-222-1099.