Contact Us

If you are interested being a new client, please fill out either form below. If you would like to start with virtual sessions, but have a location preference for session attendance once you will be attending in person, please fill out the corresponding form for that specific location. Please make sure to check your spam folder to keep an eye out for responses from our therapists! Thank you!

Loop Office

25 E. Washington Street, Suite 1021, Chicago, IL 60602

Phone: (312)-298-9846
Fax: (312)-254-2138

Loop Office Session Request

Today's Date

YYYY

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Type of Therapy

Insurance

(At this time, we are considered Out of Network with BCBS Choice, Telligen, Cigna, and HMO plans.)

Attendance Preference

Availability

What time frame is best for you to attend sessions on a regular basis?

Mornings

Lunch Hour

Evenings

Weekends

Are you open to working an Intern who may have more immediate availability?

Language

If you would prefer services in a language other than English, please indicate by using the checkbox below.

English

Spanish

Hindu

Urdu

Message

How Did You Hear About Pinnacle Counseling?

Andersonville Office

5235 N. Clark St 2nd Floor, Chicago, IL 60640