Thank you for your interest in receiving mental wellness care at Sista Afya Community Care through our Thrive in Therapy program. You must be a permanent Illinois resident and above the age of 18 to receive therapy at our organization. We recommend using a desktop or laptop to complete this form.
Please take 10 minutes to fill out this form for those seeking free therapy. Please have your photo ID ready to upload to this form for proof of Illinois residency. You must make less than $1500 a month to be eligible for services and provide proof of that before starting the Thrive in Therapy program. After completing this form, your Therapist will email you to schedule a 15 minute intake session with your Therapist of choice to schedule you for an appointment, to review therapy policies, and to answer any questions you have.
ATTN: We do not provide individual therapy for children, teens or families. If you are looking for a children or family therapist, please review our Preferred Providers List at: http://bit.ly/afyaresources
If you are paying with insurance or are paying sliding scale, please fill out the Therapy Request form for sliding scale or insurance on our website. Please note that sliding scale are limited and may not be readily available. Visit: www.sistaafya.com/therapy.
If you have any questions, feel free to reach out to us at: communitycare@sistaafya.com. NO PHONE CALLS PLEASE!