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Family Adult Child Therapy Services PLLC

Give Us a Call Today
(312) 835-7039

Schedule A Consultation

Please fill out the following form to request an appointment and be contacted by a mental health therapist!

First Name

Email Address

Last Name

Date of Birth * required

Will you be paying for services out of pocket or using insurance? *

Out of Pocket

With Insurance

If paying w/insurance, please provide your insurance provider's name

What brings you to therapy? When days/times are you available for therapy? What is the best time to contact you?

Phone Number

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

© 2025.factspllc.com

Address

125 S Wacker Dr.

Suite 300

Chicago, IL 60606

6800 Weiskopf Avenue
Suite 150
McKinney, Texas 75070

8520 Allison Pointe Boulevard

Suite 220

Indianapolis, IN 46250

Contact

Email: contact@factspllc.com

Phone: (312) 835-7039

Fax: (469) 421-8594

Hours of Operation

Mon.- Fri. 9:00 am- 7:00 pm

Saturday- Sunday Closed

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