Get Started with a therapist in CHicago, Skokie or Virtual

Name*

Phone*

Email*

Date Of Birth*

Availability (days and times in week)*

In Person or Virtual Sessions*

Preference for specific therapist and/or therapeutic approach (optional):

Location for in person sessions (Lakeview or Skokie Offices):

Note: We are in network with BCBS PPO plans, Aetna PPO plans, Aetna CVS (PPO and HMO), & Compsych. We are unfortunately NOT in network with BCBS HMO.

How did you find us? (If you were referred by a therapist or doctor please let us know their name!)

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2835 N Sheffield Ave., Suite 402, Chicago, Illinois 60657, United States || 5225 Old Orchard Rd., Suite 4, Skokie, Illinois 60077