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Appointment Request

To schedule an individual, young person, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call.

Jayne Gottschalk, MA, LMFT
Contact me anytime for free telephone consultation.
Confidential voicemail box: 203-293-3900



A word from Jayne on appointments…



“I make the process of scheduling your first appointment as easy as possible.” When people are actively looking to speak to a psychotherapist for the first time, they are often in great distress. The presenting problem has most likely reached its apex of discomfort and they are looking to talk to someone as soon as possible.

When patient’s first call their stress levels are at all time highs. They are seeking help and relief and want a consultation with a trained professional ASAP. Patients want and deserve a call back as soon as possible. I try very hard (unless I am away on vacation) to return all new patient calls within 24 hours. The comment I generally hear from my potential new patients is "Wow, thank you, I didn't expect to hear back from you so soon!
Next Steps: Are we a Good Match?
Once we finally connect by phone or email, I will talk with you in some detail about the reason you are seeking services. It is my goal to understand what the cores issues are. The reason why I go so deep so soon is: I want to make sure I am the appropriate therapist for you. If I determine after we speak that I am not the best match, I will do my best to give you a referral to someone who may be better suited to help you.

If we determine that we are a psychotherapeutic match, our conversation will then move to logistics. We'll discuss:
Self Pay:
Self pay clients can settle their bill using cash, check or credit card.
  • See below on how to utilize out of network benefits if you have insurance other than Blue Cross Blue Shield.
Ct Family Therapy accepts Anthem or Empire Blue Cross-Blue Shield, Cigna, HealthyCT and certain Husky products. Our in-house insurance specialist will confirm your eligibility prior to your first appointment. You will need to fill out and return our Insurance Benefits Form so that benefits can be confirmed.
Out of Network Benefits
Clients who have insurances other than Blue Cross Blue Shield can still utilize their insurance by using Out of Network Benefits.

My insurance specialist will submit claims direct to your insurance company – so you don’t have to do any work. All you will need to do is to call your insurance company and find out what percentage of my fee gets reimbursed to you.
  1. The timing of our initial and subsequent weekly sessions.
  2. Payment Arrangements:
  3. Our New Patient Registration Form is another required short document. Please download, print out, and completed this form. When completed, email this form back to me at [email protected]
Your First Appointment
The first few minutes of our session are housekeeping-related. We will review the Insurance and New Patient forms, some simple additional forms and policies will be explained, and then we are ready to dig in and engage in the therapeutic process!


We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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