EMAIL Dr. Nicole Alicino TO MAKE AN APPOINTMENT OR TO CONTACT THE OFFICE WITH QUESTIONSPLEASE NOTE: We are currently offering video and phone telehealth appointments using video platforms that ensure your privacy. First name Last Name Patient’s name (if different from above) Patient’s Date of Birth * Email Address * Phone Number * Do you have Medicare * yesNo What is the primary reason why you want to see a doctor? * Are you currently working with a therapist or psychiatrist? * What is your general availability Monday-Saturday? (specify ALL available days/times) * What state are you located in? If you are located outside of the United States, please indicate what country you are located in. Input this code: