Application

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To apply for any of the Clinical Services offered by the White Institute, please print out a copy of the application.  Once you complete it, please mail it via the US Postal Service to Ms. Leila Sosa, William Alanson White Institute, Clinical Services, 20 West 74th Street, New York, NY 10023.

 

中文申请表 Chinese version of the application

 

日本語心理療法サービス申込書 Japanese version of the application