Join Framework's Waitlist
We'll reach out to contact you once we have an opening to offer.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to use your insurance or pay the full fee using a credit card? (Our fees range from $75-$225 per session, depending on the therapist.)
*
Use my Insurance
Pay by Credit Card
Health Insurance
*
Please Select
Not Applicable - Paying by Credit Card
Aetna
Anthem Blue Cross
Beacon
Blue Cross Blue Shield Out of State (not CA)
Blue Shield of California
Carelon
Cigna
Evernorth
First Health
L.A. Care
Lucet
Magellan
Medicare
Medi-Cal (CA Medicaid)
Meritain
Optum
Oscar
Tricare / TriWest
U.C. SHIP for Students
United Healthcare
UMR
(Please select "Not Applicable" if electing to pay the full session fee by credit card.)
Insurance Member ID
*
Date of Birth
*
What days of the week are you typically free?
*
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
What times are you typically free?
*
Mornings (8am-11am)
Mid-Day (11am-2pm)
Afternoons (2pm-5pm)
Where would you like your appointments to take place? (FYI: Prospective clients who are open to online therapy often spend less time on our waitlist.)
*
Online
In-Office (North Hollywood)
Optional: Do you have additional preferences for us to consider when matching you with a therapist? (For example, "Female therapist, please" or "Therapist for anxiety")
Join Waitlist
Should be Empty: