Please fill out the form below to request a session.
We’ll get back to you as soon as possible. If you do not hear back from us within 48 hours, please email hello@sgtherapygroup.com with the information below.

Name *

First Name

Last Name

Email *

Phone *

(###)

###

####

Age *

Please briefly explain why you're seeking therapy *

Please list your insurance provider. If you don't have insurance type "self-pay." *

Daily Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday/Sunday

Time Availability

Early Morning (7am-9am)

Late Morning (10am-12pm)

Midday (12pm-3pm)

Early Evening (4pm-6pm)

Late Evening (6pm-9pm)

OTHER AVAILABILITY

If your schedule does not fit the descriptions above please specify the days & times that work best for you.

Please select which clinicians you are interested in working with *

Aviva Brill

Corinne Bloom

Maddie Persanyi - not accepting new clients

Sydney Gideon

Molly Adams

Please select which modality you prefer *

In-Person

Virtual

Open to either

How did you hear about us?

Thank you!

Practice Information

SG Therapy Group

405 W SUPERIOR STREET
7TH FLOOR
CHICAGO, IL

(312) 343-4692
hello@sgtherapygroup.com

Instagram: @sgtherapygroup

LinkedIn: SG Therapy Group

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