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BreakTHRU Intake

BreakTHRU Interest Form

Hey there! Thank you for your interest in BreakTHRU Wellness. BreakTHRU provides counseling and occupational therapy services free of charge to youth and young adults who:

are at least 14 years old
have a history of foster care
live in San Antonio and the surrounding area.

If you meet those criteria, please fill out the form below and a BreakTHRU provider will connect with you soon!

First and Last Name *This question is required.

Pronouns

Birthdate (MM/DD/YYYY) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Email *This question is required. This question requires a valid email address.

Phone number *This question is required.

What service(s) are you interested in? Select all that apply. *This question is required.

Counseling: talk-based therapy to manage thoughts, feelings, and stress, and improve coping abilities
Occupational therapy: activity-based therapy to learn skills and habits that support mental wellbeing

What is your preferred platform for BreakTHRU therapy sessions? *This question is required.

For counseling services, what time/day(s) work best for you? Please note that at this time, occupational therapy is offered Monday through Friday during the hours of 9AM-5PM.

Monday 9AM-5PM
Tuesday 5-7PM
Wednesday 9AM-5PM
Saturday 10AM-2PM

Are you currently in a THRU Project housing program? (SIL, College Housing, or Next Step Vocational) *This question is required.