Black On Black Therapy Intake Form
Let's see if Black On Black Therapy would be a good fit! Please read through the key points and frequently asked questions below. If you would like to move forward with requesting an intake, please complete the information in its entirety on the next page.
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***BLACK ON BLACK THERAPY IS NOT ACCEPTING NEW CLIENTS***
We are glad you decided to take the first step in booking an appointment! Starting therapy for the first time (or again!) is rewarding but often can be a process. We have some key points to share to help you determine if you would like to move forward.

Who We Serve

While Black On Black Therapy PLLC is open to all, we center the needs of black women, women of color, queer/LGBTQ adults, adults with chronic conditions, adults who identify as neurodivergent regardless of a formal diagnosis, and relationship-diverse individuals and partnerships.

We can provide therapy services and immigration evaluations in Illinois, Texas, Florida, and South Carolina. Individuals, couples, and partners must physically be in one of the above states to receive services.

We can provide HSP (Highly Sensitive Persons) and ENM (Ethical Non-Monogamy) coaching to all states. However, if we determine that therapy is a better fit, we will refer you to a therapist in your state.

Fees and Insurance

You may self-pay at $160-$200 per individual counseling session and $250 per couples/partner session. You can use your HSA/FSA. Aetna PPO and Blue Cross Blue Shield PPO are accepted for individual therapy in Illinois only. HMO plans and Medicaid/Medicare are not accepted.

You can be provided with a Superbill for possible reimbursement from your insurance plan if you are outside of Illinois or have an insurance plan that is not accepted.

Appointment Times

Sessions are lunchtime sessions scheduled Monday through Thursday from 10:00am to 1:00pm CST (11:00am to 2:00pm EST). Clients typically use their lunchtime or set aside dedicated time for sessions. Whichever option you decide, sessions will always be virtual, so you have the flexibility of not having to travel. However, ensure a private space in your home, office, or car to engage in counseling fully.

Clients typically need to set aside 45 to 60 minutes for sessions. If needed, clients do have the option of 30 minute sessions in the later afternoon. Appointments in the evening or on weekends are not available.

Scheduling Intake or Consultation

You may also indicate on the consultation questionnaire if you would like to move forward with scheduling your intake session or if you have additional questions. If you can be seen, you will be sent your intake paperwork to be completed within 48 hours via a secure client portal. You will then be prompted to self-schedule your first appointment in the client portal.

You will receive an email if your intake form reveals that we may not be a good fit.
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