Dr. Roy Jerome is based in crown Heights, Brooklyn. Consultations are by appointment.
email@example.com | 917-225-9024
Please note that your voice mail or email message will be returned as soon as possible within 24 hours. An immediate response cannot be guaranteed by either phone or email. If you or someone you know is in need of immediate help, immediate assistance is available by calling a crisis intervention hotline, such as 1.800.LIFENET (1.800.543.3638), or 911 in cases of emergency.
Here, you will find the complete forms to start therapy. Please print and fill out the Intake Packet and Privacy Notice prior to your first session. If you have any questions about these forms, we can discuss your questions in the first session. Other forms included are for later use by patients or for patients reference.
Credit Card Payment
Dr. Jerome uses the secure payment processing services of ProfessionalCharges.com to handle online Debit and Credit Card payments. Payments by credit card should be made the same day as your scheduled session.
To Make an Online Payment:
- Click on the Make a Payment link below, and the payment form will open in a new window.
- Enter your name as it appears on your card.
- Insert my License Number 019645 in the space for the Provider’s License Number.
- Complete the form and click on the Submit Payment button at the bottom.
- Print yourself a copy of the receipt that will appear on screen.