Thank you for your interest in receiving Care Coordination at Sista Afya Community Care through our Thrive in Therapy program. We recommend using a desktop or laptop to complete this form - Do not use a phone.
What is Care Coordination?
Care coordination is a service that helps you navigate and access the support and resources you need for your health and well-being. A Care Coordinator works with you to connect you to the right services, providers, and community resources so you don't have to figure it all out on your own. Think of it as having someone in your corner to help you stay organized, informed, and on track with your care.
Please note that this form is only for adults ages 18+.
Please take 10 minutes to fill out this form. Please have the following ready to upload:
- Photo ID for proof of Illinois residency.
- Proof of low-income or public assistance
Lastly, make sure that you schedule your 15-minute phone intake on the calendar at the bottom of our website:
www.communitycare.sistaafya.com/carecoordination
If you forget this step, you will not be able to complete the process to begin services.
If you have any questions, the quickest way to reach out to us is:
saccintake@sistaafya.com. 