Take the First Step Towards Support

Start with a brief consultation request

IMPORTANT:

If you are experiencing a mental health crisis or emergency, please call 911 or go to the nearest emergency room immediately. This form is not monitored 24/7 and is not intended for urgent situations.

Before You Submit

Reaching out is a positive step toward better mental health. This short form helps us understand your goals and availability before scheduling your first session.

We will follow up within 1-2 business days. All information submitted is confidential within legal limits. For more details, please see our FAQ.

Key Information

  • Format: Secure telehealth sessions for clients located in Illinois or Montana. Learn more
  • Insurance: In-network with BCBS Illinois, Aetna, United Healthcare, Cigna, and Optum. Learn more
  • Fee: Standard 55-minute session fee is $175.

Prefer to call?

Contact Information

Mailing address

Integrative Emotional Enrichment Services, P.C.
278 W Rand Rd, Ste 1 PMB 1016
Arlington Heights, IL 60004

For mail only. All sessions are held by telehealth.

Initial Consultation Form

Complete this short first-step form. We will gather full intake paperwork only after we confirm fit and appointment availability.

Please keep details brief. We will gather full intake information after initial contact.

Contact Details

Please provide your first name.
Please provide your last name.
Please provide your email address.
Please provide a valid email address.

What Brings You In?

Please provide a brief reason for your request.

Availability

Please select a preferred time.

Insurance

What Happens Next

After submitting your request, expect a call or email within 1-2 business days. During this first contact, we'll:

  • Review your goals and availability
  • Answer questions about telehealth, fees, and insurance
  • Confirm whether this is a good fit for your needs
  • Schedule your first appointment when appropriate