Home » Contact Us Contact Us Address:Jewish Family Services of GreenwichOne Holly Hill LaneGreenwich, CT 06830Office Hours:Monday – Thursday: 9:00 am – 5:00 pmFriday: 9:00 am – 4:00 pmEvening Hours by appointment Contact:Phone: 203-622-1881Fax: 203-622-1885Email: mknee@jfsgreenwich.org Please complete the following form if you are interested in counseling or support groups Name First Last Name of Guardian (if client under 18) First Last Email PhoneAddressDate of BirthIf minor, current school attendingInsurance CompanyInsurance Policy #Secondary Insurance Company (if applicable)Secondary Insurance Policy #Emergency Contact NameEmergency Contact NumberHave you ever been in therapy before? Yes No If yes, please explainAre you currently seeing a psychiatrist for medication management? Yes No If so, who?Is this for a court order or forensic related matter? Yes No Have you been hospitalized in the last 3 months? Yes No If yes, please explainDo you own a firearm? Yes No Have you thought about harming yourself? Yes No Have you thought about harming others? Yes No If yes, please explainDo you have any active substance abuse concerns, or sobriety for less than 3 months? Yes No If yes, please explainPlease briefly explain the reason for your visitHow did you hear about JFS of Greenwich?Are you requesting a specific therapist at JFS of Greenwich?CAPTCHA