Please fill out the following information. We will check your benefits and connect you with a therapist.
An email response for all requests and inquiries will come to you from a member of our intake team at email@example.com
within 24 hours. If you do not receive an email response during that time frame, please check your spam and/or junk mail folders. If we do not hear back from you within a week, we will then call the number you supplied.