Language
English (US)
Spanish (Latin America)
Personalized Therapist Matching Form
You will receive the results within 24 hours
Client Information:
Full name
*
First Name
Last Name
How did you hear from us?
*
Current Date
-
Month
-
Day
Year
Date
Date of Birth
*
-
Month
-
Day
Year
Date
Age (in days)
Age (in years)
For minor clients, please provide the parent or legal guardian's information
Parent's full name
*
First Name
Last Name
Phone number
*
Format: (000) 000-0000.
E-mail
*
for minors, add parent's email
What brings you to therapy?
Anxiety
Depression
Trauma
Insomnia
Relationship issues
Grief
Chronic Illness
Couple's issues
Parenting
Life Transitions
ADHD Symptoms
Childhood Trauma
Other
Who are the services for?
*
Please Select
Myself (adult)
My child (4–8)
My child (9–12)
My teenager (13–17)
My partner and I
Do you have a language preference?
English
Spanish
French
Mandarin
Select the type of service you are interested in
Play Therapy
EMDR Therapy
Couples Therapy- Avail Virtual Only
Trauma
Cultural Issues
Identity Exploration
CBT for Insomnia
Perinatal Health
Biofeedback
Behavioral Issues
Autism Spectrum Disorder
Chronic Illness
Child-Parenting Relationship (CPRT)
Other
Are you open to therapy:
Please Select
In-person
Virtual
Either, if it's the best match
Service location
Plano In-person
Fort Worth In-Person
Virtual Texas wide
I'm open to virtual for the right match
Please Note: Couples Therapy is available virtual only
When are you available to attend sessions?
Weekday mornings (8am–12pm)
Weekday afternoons (12pm–4pm)
Evenings (4pm–7pm)
Are you using insurance? Please Note: Biosound Therapy and Couples Therapy are private pay services
Yes
No
Select from the list (varies by provider). We are not in-network with Medicare, Medicaid or EAP's.
*
Please Select
Cigna
Oscar
Oxford Health Plans
United Health Care
Other
Other Insurance
*
Select your insurance (not all therapists take every insurance below). We are not EAP providers, and we are not in network with Medicare, Medicaid.
AETNA
Blue Cross Blue Shield
Cigna
Oscar
Oxford Health Plans
United Health Care
Other
Is there anything else you'd like us to know before matching you?
How would you like to receive your results?
*
Via email
A Free 15 min Consultation
Select a Date & Time for your free 15 minute phone consultation
*
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