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Secure Contact Form
Thank you for your interest in services at Trinity Center! Complete the form below to provide some information about yourself, and we will be in touch with you soon. Please use this form for non-urgent communication only.
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Name
*
Your answer
Email Address
*
Your answer
Phone Number
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Your answer
Message
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Your answer
Insurance Coverage
**Please note that
Aetna
plans issued through Atrium Health/Wake Forest Baptist Health utilize Meritain for mental health benefits and are in-network.
*
Blue Cross Blue Shield
Aetna
Meritain Behavioral Health
Tricare
Out of network or self-pay
Uninsured
Not applicable
Other:
We use phone calls as our primary means of communication with clients.
May we leave you a voicemail if we are unable to reach you?
*
Yes
No
May we contact you by secure email if we are unable to reach you by phone?
*
Yes
No
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