360 Talk Therapy
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Consultation, Callback & Referral Information

Prepare a brief general email or callback request, or contact the Chicago office. Appointments are booked through Tebra.

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Prepare a Callback Request

Enter basic scheduling and contact details. When you continue, your email app will open with a message prepared to info@360talktherapy.net. Review it and press Send. This website does not store or directly submit the request. Clinical paperwork remains in Tebra and the patient portal.

Preferred days / times

Company name only — do not enter a member ID, policy number, or group number.

Optional. Please do not include diagnoses, medications, detailed symptoms, Social Security number, insurance ID or member numbers, or other sensitive medical information. Maximum 400 characters.