Thank you for your interest in receiving mental wellness care 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.
Please note that this form is only for adults ages 18+. If you have a teen, please have them complete the form at:
www.communitycare.sistaafya.com/teens
Please take 10 minutes to fill out this form. Please have the following ready to upload:- Photo ID for proof of Illinois residency.
- Insurance or Medicaid Card
- Proof of income and public assistance if you are applying for free therapy and reduced fee therapy.
Lastly, make sure that you schedule your 15-minute phone intake on the calendar at the bottom of our website:
www.communitycare.sistaafya.com/therapy
If you forget this step you will not be able to complete the process to begin therapy.
Insurance Accepted: Blue Cross Blue Shield PPO, Cigna, Aetna PPO, United Healthcare
Medicaid Accepted: Blue Cross Blue Shield Community, Molina, Meridian, County Care.
Reduced Fee: $50 a session for those making between $1701-$3000 a month.
Free Therapy: 6 months of free therapy for those with financial hardship making less than $1700/month.
If you have any questions, the quickest way to reach out to us is:
[email protected]. 