Aftercare Schedule Well-structured aftercare is a conduit to sustained recovery; when is your appointment with your therapists and psych provider? Do you need help finding one? We can help if you! Request one HERE. First name*Last name*Email* Phone*Zip code*Insurance type*Birthday* MM slash DD slash YYYY Gender* Male Female Are you affiliated with a church?* Yes No Reason you are seeking therapy*Have you seen a therapist before?* Yes No What was your last date seen?*Are you currently seeing a psychiatrist or medical doctor for psychiatric medicines?* Yes No Age of individual seeking treatment?* Δ