Appointment Request

To schedule an individual, couples, or marriage therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call at 973-380-9381.

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.

Michael Lepak, LCSW

In person therapy In Montclair NJ. Virtual therapy sessions available for residents of NJ and NY.

To Request an Appointment

Helpful Forms

Click here to view and print forms for your appointment.

New client forms