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Black Mental Health Fund
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Home
About
Black Mental Health Fund
Art Show!
Internship
Location
Contact Us
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YOUR CART
If you have general questions or comments, please send us a message below and someone will be in touch with you usually
within 5-7 business days
.
We are currently receiving a very high number of communications and respond to each one carefully. Thank you for your patience. If you DO NOT hear from us, please feel free to drop us another line.
*
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Name
*
First
Last
Email
*
Phone Number
*
Questions & Comments
*
Submit
If you would like some support in selecting a mental health practitioner, please complete the form below. Someone will be in touch with you
within 5-7 business days
.
We are currently receiving a very high number of requests and respond to each one carefully. Thank you for your patience. If you DO NOT hear from us, please feel free to drop us another line.
Name
*
Email
*
Phone Number
*
*
Indicates required field
When are you available to come in for sessions? Do you have any scheduling needs?
*
Do you have any specific preferences/needs? What general issues/needs do you hope to address in counseling?
*
Do you plan to use insurance (if so, what type of insurance)? self-pay? sliding scale?
*
Submit
