New Inquiry Form

Please fill out the secure form below to get started. This is the first step for anyone
looking for individual psychotherapy or couples counseling with Dr. Bear Korngold.

All fields with marked with an * are required


  • If interested in Couples Counseling, please fill out partner's name and email address below:



  • PLEASE NOTE: I am ONLY a network provider for Beacon Health Options insurance (formerly "ValueOptions", which some may access through Kaiser). For all other insurance plans, I take full payment at the time of service and can provide a SuperBill for the patient to seek out-of-network reimbursement directly from insurance.
  • This field is for validation purposes and should be left unchanged.