Enroll Today!

Experience our comprehensive, four-fold approach to whole health, designed to support you in achieving your wellness goals by treating the whole person—all covered by insurance*.

*We currently only take BCBSIL PPO, Aetna PPO, United Healthcare PPO, Meridian, and Blue Cross Community Care. If you are interested in self-pay options, please contact our office at 773.234.7775.

Your Name

Please make sure this name matches your ID & Insurance Card

First Name

Last Name

Your Email

This is our initial form of communication. Please provide a valid email and remember to check your spam for correspondence.

Your Phone

(###)

###

####

Who are you enrolling in services?

Please tell us who is enrolling in services today.

Are you filling out this enrollment form on behalf of another consenting adult?

Only select one option. NOTE: Please be sure to provide insurance cards and IDs for all persons enrolling in services today.

Yes

Are you currently seeing a mental health therapist?

We require all clients to be enrolled in mental health services, whether with us or with another provider.

How did you hear about us?

If this is a referral, or a request for a specific therapist, please name them here.

Services

What services are you interested in?

Mental Health Therapy

Massage Therapy

Personal Training

Nutrition Coaching

Project Thrive

Insurance

Please select your insurance provider. These are the only insurance providers we accept at this time.

How would you like to experience your mental health therapy sessions?

Gender Preference for Massage Therapist

Please list your preferred day(s) for Massage Therapy

Note: We cannot guarantee that day will be available, but we will do our best to accommodate.

Enroll Today!

You belong here. ♡