Appointment Request

To schedule an individual, child, couples, marriage or family therapy appointment, please complete the following link: MADRIGAL INTAKE FORM

For any additional assistance or questions, please fill out the form below or give us a call.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the intake department.

!
!
!
!
!

Please do not submit any Protected Health Information (PHI).

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

Lombard

450 E. 22nd Street,
Ste. 158,
Lombard, IL 60148

Shorewood

220 Channahon Street,
Shorewood, IL 60404

San Antonio

15150 Blanco Road,
San Antonio, TX 78232

Hours of Operation

Monday  

9:00 am - 8:00 pm

Tuesday  

9:00 am - 8:00 pm

Wednesday  

9:00 am - 8:00 pm

Thursday  

9:00 am - 8:00 pm

Friday  

9:00 am - 8:00 pm

Saturday  

9:00 am - 8:00 pm

Sunday  

9:00 am - 8:00 pm