Home
DASC Team
Leadership
Directors/Coordinators
Staff
Advanced CBT Fellows
Therapists In Training
Administrative Team
Join Our Team
Our Services
Individual Therapy
Group Therapy
Treatments We Use
Resources
FAQs
Clinician Resources
Community Partners
Upcoming Events
Privacy and Forms
DASC Diversity Statement
Insurance and Fees
Contact
Client Portal
✕
Start Your Journey
Please enable JavaScript in your browser to complete this form.
You can contact us by completing our web form, or you can also leave us a message at (773) 494-5505. We will respond to you within 24-36 business hours. You may also reach out to Dipali Bharadwaj directly at
dipalibharadwaj@dascchicago.com
Name
*
First
Last
Your Age
*
Phone number
*
Email
*
Which insurance do you have?
*
Please choose one
BCBS PPO
Aetna
United HealthCare/Optum
Medicare
No insurance: self pay
No insurance: requesting reduced rate services
I’m not sure
Other
Other insurance
Service(s) you are interested in
Individual therapy
Group therapy
Individual & Group therapy
I am a therapist looking for professional training or consultation
I'm not sure
Are you reaching out on behalf of yourself or someone else?
Please choose one
Myself
Someone else
Relationship to this person
Clinician requested
Please choose one
First available
Dania Abed
Olivia Aronson
Dr. Lovely Binion
Mallory Bizeau
Elizabeth Dahll
Anna Freeman
Adriana Jones
Kyla Kachman
Pauline Mainou
Alexa Nutt
Evelyn Padilla
Haley Sachs
Jiapei Sun
Sha'Keylia Robinson
Kayla Volling
Do you live in Illinois and will be residing in Illinois for all sessions?
Yes
No
Not sure
When do you expect to leave Illinois?
Do you prefer virtual or in person sessions?
Please choose one
Virtual
In person
Either
We are currently offering virtual appointments as well as in person in our Lakeview location at 3047 N. Lincoln Ave.
What is your general availability for appointments?
Evening hours tend to be in high demand and are harder to accommodate. Please note that we offer appointments Monday-Friday and have more availability for morning and afternoon appointments.
Have you previously worked with anyone at DASC?
No
Yes
Who have you worked with previously?
Are there any specific accommodations you may need?
How did you hear about us?
What is the reason you are seeking services?
Submit
Deanna Xystus
Billing Supervisor/Human Resources Professional
deannaxystus@dascchicago.com
(312)772-2711
Follow DASC on Social Media!