EAP appointment - 11-10 Therapy

Make an Appointment through your qualifying EAP

EAP Clinician Request Form

Name(Required)

First Last

Name of EAP provider if eligible(Required)

To check if our therapists are in your EAP network

Employer(Required)

Department, District, or City

Email(Required)

Enter Email Confirm Email

What brought you to 11-10 Therapy(Required)

Please let us know what's on your mind. Have a question for us? Ask away.

11-10 Therapy offers marriage, family, and individual therapy. We provide counseling services with family dynamics, relationships, anxiety, depression, and other mental health conditions for those in California.

If you have an emergency, please call 911 or go to your nearest hospital. For immediate psychiatric help, call 988.