Referrals for Supervision Application

 

We welcome your application!

 

Download the application:
Application (.doc - fill out electronically)

Application (.pdf - print and fill out by hand)


How to submit your application:

 

Online for faster processing:

    • Email your application, curriculum vitae, license to practice, and malpractice insurance (if applicable) to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

    • Make your payment online through Paypal:
      Application/Registration Fee

 

  • or Send payment electronically using Zelle to This email address is being protected from spambots. You need JavaScript enabled to view it..

   

By mail:

  • Mail your completed application, curriculum vitae, license to practice, malpractice insurance (if applicable), and $125 application fee (check made payable to "Institute for Psychoanalytic Education") to:


     Psychoanalytic Association of New York
     c/o Institute for Psychoanalytic Education

     Department of Psychiatry
     1 Park Avenue, 8th Floor
     New York, NY 10016

If you do not receive a phone call or email that we have received your application within 2 weeks of submission, please contact the PANY office at 646-754-4870.

Thank you and we look forward to reviewing your application. 



 



 

Psychoanalytic Association of New York
NYU Department of Psychiatry
One Park Avenue, 8th Floor
New York, NY 10016

Telephone: 646-754-4870
Fax: 646-754-9540
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

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