Contact us to make an appointment:

Call 847-220-7402
Or fill out the form below

Our Lincoln Park Office:‍

2202 N. Lincoln Ave. #2. Chicago IL 60614

OUR CHICAGO OFFICE IS LOCATED IN THE THE HEART OF LINCOLN PARK RIGHT BY OZ PARK. BY APPOINTMENT ONLY. NO DROP INS.

Is this an Emergency? Call 911

If you are experiencing a mental health emergency, please use your phone to call 911 immediately. This form is not designed to provide access to care on an emergency basis. If considering harm to yourself or others, please call 911 now.

New Client Inquiry Form

Fill out the form below and you will be contacted within 1-3 business days to discuss your needs and set up an appointment. Our confidential initial screening and pre-registration process takes about 10 minutes and must be done by phone.

Name of Client?*Your Contact Email?*Your Phone Number?*What type of therapy are you looking for?*

Individual Therapy

Getting Therapy for my Child

Couples Therapy

Insurance or Payment Choice?*

Blue Cross Blue Shield PPO or BlueChoice

Optum / United Healthcare PPO

Private Pay (Cash/Check/Credit)

Comments/Questions

Please Note: Submitting this form does not indicate a confirmation or acceptance of an appointment. You will be contacted by phone within 1-3 business days by our staff to discuss your needs.

This form SHOULD NOT be used to communicate clinical information. For all clinical matters, requests for records, billing questions contact us directly by phone at (847) 220-7402.

If you are a CURRENT PATIENT, do not use this form to schedule, cancel or contact your therapist. Please call your therapist directly by phone. PLEASE DO NOT send clinical requests or information via email.

Thank you!
Your submission has been received!

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Contact us to make an appointment:

Call 847-220-7402Or fill out the form below

Our Lincoln Park Office:‍

Is this an Emergency? Call 911

New Client Inquiry Form

Call 847-220-7402
Or fill out the form below