Online Therapy & Counseling in Illinois

REQUEST AN APPOINTMENT

USE THE FORM bELOW TO REQUEST AN APPOINTMENT OR A COMPLEMENTARY 15-MINUTE CONSULTATION

Ready to begin? Please complete the below form and we will try to accommodate your preferred day and time.

(Please note: This form is not for established clients)

Name *
Phone *
Email
Appointment? Or free consultation?
Preferred appointment day and time?

We will try to accommodate your preference.
What can we help you with?

Note: This is not a secure form, please do not include any confidential medical or mental health information!
Terms & conditions *

TermsBy submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Indigo Butterfly Counseling and Wellness, PLLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
I accept the Terms & Conditions and want to submit this form.

INSURANCE ACCEPTED

Indigo Butterfly Counseling and Wellness, Mission Statement:

"To empower individuals to discover their strengths, overcome challenges, and cultivate lasting well-being through personalized, transformative therapy"