Welcome to City Gate LRC
Thank you for taking the first step with City Gate Life Recovery Center. Please set aside 5-10 minutes to fill out this brief form so that we can process your information and reach out to you within 48 hours in order to hopefully schedule a first appointment.
City Gate LRC is currently partnered with the following insurance providers:
Blue Cross Blue Shield
Tricare East/Tricare West/Tricare for Life
Alternatively, City Gate LRC also accepts private pay on a sliding scale based on household income.
Please provide your FULL name (this should match what is listed on your medical insurance card):
City Gate LRC therapist teams specialize in four specific areas of focus. Please select one or more of the following, if applicable, according to your need:
Sex Addiction (Sexually Compulsive Behavior Disorder)
Partners of Sex Addicts
Couples & Relationship Therapy
Substance Abuse or Addiction
Depression and/or Anxiety
Trauma (PTSD and Other)
Please give us a brief description of what lead you to reach out:
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