Contact | Walnut Psychotherapy Center

Address

1700 Sansom St, Fl 11

Philadelphia, PA 19103

Phone

215-563-7863

Fax

215-563-5815

Email

info@walnutpsychotherapycenter.com

Interested in Starting Therapy?

If you'd like to start seeing a therapist at Walnut, please fill out this form so we can learn a little about who you are and what you're looking for. We'll take a look at which of our therapists are available, and reach back out to let you know if we can start scheduling.

Keep in mind, we are currently offering telehealth only, due to the COVID-19 pandemic.

All sessions will be held remotely via video until further notice.

The Basics

Questions?

Your Name

Legal Name (if different)

Phone

Date of Birth

Pronouns

How did you hear about us?

Other:

Payment Options

Questions?

You have the option to see either a staff therapist or an intern.

Staff therapists:

Are licensed social workers
Provide long-term therapy, lasting 6 months to many years
Can always accept sliding scale payments
Can accept some insurance types

Interns:

Are masters students in social work programs
Available September through April each year
Provide short-term therapy, lasting under 9 months
Accept reduced sliding scale fees
Cannot accept insurance

No room for new intern clients until August 2022!

Do you prefer a staff therapist or an intern?

We currently accept commercial and private insurance plans from Aetna and United. We do NOT accept ANY medicaid or medicare plans.

Member ID number

As an alternative to insurance, please select the sliding scale tier that would be appropriate for you, based on your household annual income:

$30,000 and below: $85 per session

$30,000 to $60,000: $110 per session

$60,000 to $100,000: $135 per session

$100,000 and above: $150 per session

Interns can accept between $45 and $65 per session. Please select the rate that would be most appropriate for you based on your income:

Your Concerns and Preferences

Questions?

What brings you to seek therapy right now?

Have you been in mental health treatment in the last few years?

Do you have any preferences about the therapist you see?

Optional: Could you let us know how you identify?

Your racial identity

Your sexual identity

Your gender identity

Are there other identities you'd like to share?

Your Availability

Questions?

What times are you regularly available for a weekly one hour appointment? Be as specific as possible! Keep in mind, we have very limited availability after 4pm. We have no appointments available on weekends.

Today's Date