Vida Clinic: Request For Therapy Services
Welcome to Vida Clinic! We would love to help you begin the process of finding a therapist. Please take the time to read below before completing the form:

- Please keep in mind that all of our therapists are in-network with different insurances. Therefore, insurance slots can be extremely limited. If our therapists do not have availability with your insurance, we may be able to offer you a self-pay appointment with a therapist that is out-of-network with your insurance.

- Update as of 5/31/2022: Due to the extremely high demand, we currently only have availability with therapists that accept self-pay, Aetna, and Multiplan. This is subject to change in the near future and this form will reflect that change.

- We now offer Single Session Therapy (SST) for clients who wish to meet with a therapist for a single visit only. If you are interested in this, please specify on this form.

- We DO NOT have any therapists in-network with Medicaid or Cigna.
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