Make a Booking

Therapy Built for Seniors

Covered by Original Medicare

We're thrilled that you've taken the first step towards a happier, healthier you.

After a few short questions, we will match you with a therapist.

Please complete this form to verify your insurance or call us at 1-800-567-5433 to schedule by phone.

First Name *

Last Name *

Phone Number *

Please enter a valid phone number

Email *

Please enter a valid email address

State of residence *

Zip Code *

Please enter a valid zip code (5 digits or ZIP+4, e.g. 12345 or 12345-6789)

Date of Birth (MM/DD/YYYY) *

Please enter a valid date of birth as mm/dd/yyyy.

Gender (at birth) *

Please confirm: *

I'm completing this form for myself. I'm completing this form for someone I know.

Note: Please ensure the information entered above reflects patient details to verify insurance.

I agree to the terms and conditions, privacy policy, privacy practices, and consent to telehealth. * I agree to receiving marketing and transactional messages via email and SMS. *

* Required field

Therapy Built for Seniors

Thanks for being here 💛