Patient Information & Forms


Dr. Renée S. Kohanski has extensive training in both psychopharmacology and psychotherapy. This gives you the option to work with her for both therapy and medication.

Or, if you prefer, she’ll work in conjunction with your current therapist.

Patient Forms

You may download, print and fill out our patient forms prior your first appointment.

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New Patient Evaluation Estimate

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Release of Information Form

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Credit Card Authorization

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Cancellation Policy

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Surprise Billing Protection Form

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Medicare Private Contract

NJ and CT Locales

Dr. Kohanski holds active licenses in the states of New Jersey and Connecticut.

  • NJ patients: in-person and telemedicine examinations available
  • CT patients: telemedicine examinations available

Connecticut patients may visit her New Jersey offices if a live examination is necessary.

Second Opinions and IMEs

Dr. Kohanski’s fellowship training in forensic psychiatry offers an additional skill set particularly well-suited for second opinions and independent medical examinations (IMEs).


Our practice is not designed to manage psychiatric conditions that require emergency care or 24/7 treatment. This is best managed by larger healthcare systems or community mental health centers that have the resources necessary to handle emergency care.

Insurance and Fees

Dr. Kohanski does not participate in any health insurance plans or Medicare. Ours is considered an “out of network” practice.

Please contact us for appointments and fees.