VOUCHER FOR 9 FREE THERAPY SESSIONS*

If You Have Received A Paper Voucher For 9 Free Therapy Sessions, Please Fill Out The Form Below

*Offer Expires April 30, 2025. All 9 sessions must be used by the expiration date, and any unused sessions remaining will be forfeited at that time. Only one voucher per individual or couple. If you have health insurance with Blue Cross Blue Shield PPO, Cigna, Aetna, or PBA through Lawndale Christian Health Center you do not qualify for the voucher. If you have one of the aforementioned insurance carriers, click HERE.

Thank you for your interest in scheduling a session. We will review your inquiry and respond via email as quickly as possible during business hours Monday-Friday 8am-5pm CST.

Name

Welcome! Thank you for connecting with us.

First Name

Last Name

Phone

(###)

###

####

State your weekly availability for sessions

Please list days of the week including times of day

Mode of Free Consult

In-Person

Virtual (in Illinois only)

Please briefly state what you hope to get out of the free consult

Who gave you the free voucher?

Insurance*

*If you have out of network insurance, you may redeem the voucher. Once the voucher has been used, we will encourage you to inquire about out of network benefits with your insurance carrier.

Aetna PPO

Blue Cross Blue Shield PPO

Cigna

PBA Lawndale Christian Health Center

No insurance

Other Insurance