Let's find the best option for you
Having a therapist you feel connected to is key. We'll ask you some questions to pair you with a licensed therapist who fits your therapy needs and preferences.
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First, please tell us a little about yourself
This information will be kept confidential and helps us ensure we're able to provide you with care.
What type of appointment are you looking for?
Individual Therapy
Child or Adolescent
Psychiatry
Family or Marriage
Group
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Next
Are you open to telehealth appointments?
*
Yes
No, in person only
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Next
Which of the following best describes the symptoms that you’re currently experiencing? (select all that apply)
*
Feeling sad or low energy most days
Feeling anxious, nervous, or “on edge”
Difficulty staying focused or completing tasks
Extreme mood changes, from high energy to deep lows
Feeling disconnected from reality, seeing or hearing things others don’t
Trouble managing anger or impulses
Interested in self-care
Something else
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Over the past month, how often have you experienced these selected symptoms?
*
Nearly every day
Several days a week
Occasionally
Rarely
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How much do these symptoms impact your daily life?
*
Not at all
Slightly
Moderately
Significantly
Extremely
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Do you often feel physically tired, tense, or drained?
*
Yes, frequently
Occasionally
Rarely
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Have you noticed any significant changes in appetite or sleep recently?
*
Yes
No
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Do you use alcohol, tobacco, or other substances to manage stress?
*
Yes
Sometimes
No
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Have you ever been told that you have a mental health condition?
*
Yes
No
Not Sure
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Are you currently taking any medications for mood, focus, anxiety, or other mental health needs?
*
Yes
No
Prefer not to say
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What type of treatment have you tried (select all that apply):
*
Antidepressants (e.g. lexapro, wellbutrin)
Seeing an in-person therapist
Seeing an online therapist
Other prescriptions (e.g. xanax, ambien)
None of the above
Other
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What would you like to achieve with support or treatment? (Check any that apply)
Improve mood stability
Reduce anxiety or stress
Improve focus and concentration
Reduce impulsivity or anger
Improve sleep or physical energy
Increase connection to reality
Other
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Has there ever been a time in your life where you had thoughts of harming yourself or ending your life?
*
Yes, within the last 12 months
Yes, but more than a year ago
No
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Has there ever been a time in your life when you made an attempt to end your life?
*
Yes, within the last 12 months
Yes, but more than a year ago
No
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We're Here To Support You
We want you to know that your well-being is incredibly important to us, and we deeply care about your health and safety. Right now, your situation calls for more intensive support than we are equipped to provide. If you’re feeling overwhelmed or thinking about harming yourself, help is available to you right now by calling or texting 988, no matter the time or day.
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Do you have health insurance?
*
Yes
No
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Your insurance may cover all or some of your care
Let’s check your coverage to understand your options.
Name of Insurance Card
First Name
*
Last Name
*
Email
*
Insurance Company (select all that apply)
*
Aetna
Cigna
Anthem / Elevance
Blue Cross Blue Shield
Humana
Centene
Kaiser Permanente
United Healthcare
Medicare
Medicaid
Other
Member ID
*
Group ID
*
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We can provide you with the personal care you need. Now let’s setup your account.
By proceeding, you consent to them, and agree to adhere to our Members Rights and Responsibilities terms.
First Name
*
Last Name
*
Phone Number
*
Please enter a valid phone number.
Zip Code
*
Street Address
Street Address Line 2
City
State / Province
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