Thank you for reaching out to Silk City Therapy. Please tell us more so we can connect you to care.

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What brings you to Silk City Therapy? *

Depression

Anxiety

Trauma

Couples therapy

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First and last name:

Email address:

Phone Number:

What type of insurance do you have? (Anthem, Aetna, Husky, United Healthcare, Cigna etc)

Would you like in-person or Telehealth therapy?

In-person only

Telehealth only

Flexible to do either

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What is your availability for therapy? Please specify available days and time frames. (For example: Week day mornings, Only weekends, MWF after 5pm..etc)

Are you on any medication for mental health treatment?

Please share any additional information you would like us to know.

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