Compass Mental Health Contact Form

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Responses may take several days. If you are in crisis, please call 911.

National Suicide Prevention Lifeline: 988 | www.suicidepreventionlifeline.org

Trans Lifeline for trans individuals: 877-565-8660 | https://translifeline.org/

Trevor Project for LGBTQ young people: 1-866-488-7386 www.thetrevorproject.org/get-help

Email *

Phone Number *

First Name *

Last Name *

Age *

Please indicate why you are contacting us (Check all that apply): *

Individual Therapy

Support Groups

Therapy Groups

Other Therapy

I want to talk to someone who can guide me to the best options.

Required

Do you have insurance? If so, what type of insurance?

May we leave a voicemail for you at the number you provided? *

Yes

Please provide any additional information that you would like us to know.

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This form was created inside of Compass, Inc.