Andrew Young Choi, PhD, ABPP

Your info

First name

Last name

Phone

Name you go by

Are you 18 or older?

This form allows you to request an initial evaluation without first scheduling a consultation call. It is designed to confirm basic fit, scheduling, fees, and the scope of the practice while giving you an opportunity to ask questions at your convenience. The form typically takes 5–10 minutes to complete.

Yes No

Where do you expect to be physically located during sessions?

Please select all that apply. I can provide services only while you are physically located in a jurisdiction where I am authorized to practice. You will be asked to confirm your location at each session.

New York California Hawaiʻi Other

Client Preferences

Would you be able to attend a recurring weekly appointment during the hours offered?

I offer telehealth appointments on Thursdays and Fridays between 9:00 a.m. and 5:00 p.m. Eastern Time. Most clients in New York, California, and Hawaiʻi are able to identify a consistent time within this window. Evening and weekend appointments are not available.

Yes Possibly; I would need to discuss scheduling No

Which recurring weekly appointment times could work for you?

Please list at least two possible appointment windows and include your time zone.

Billing & Payment

Please confirm each statement.

If you are uninsured or choosing not to use insurance for these services, you have the right to receive a Good Faith Estimate of expected charges.

I understand that this is a private-pay practice and is not in network with any insurance plan. The fee is $350 for a 60-minute initial evaluation and $300 for each 45-minute psychotherapy session, due at the time of service. Ongoing psychotherapy is generally scheduled weekly. I understand that the practice does not submit insurance claims. The practice provides superbills that I may submit for possible out-of-network reimbursement. A superbill may include a diagnosis, and reimbursement is determined by my insurance plan and is not guaranteed.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.