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Who would be receiving care?

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For insurance verification
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Reason for care
Administrative
Brave Hope Counseling is committed to providing an inclusive and accessible environment for all clients. If you require any accommodations under the Americans with Disabilities Act (ADA), please let us know. We will do our best to meet your needs and ensure your access to care is supported.
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Billing & Payment
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If you do not intend to use insurance, please respond n/a and upload a blank photo in the insurance card field.
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Client Preferences
We are committed to inclusive and affirming care. Please let us know if clinician identity or lived experience is important to you when being matched.
Brave Hope Counseling understands how important it is to work with someone who truly gets you. At the same time, our providers deserve to be seen for their clinical experience, training, and personal values, not solely based on their identity. Many of Brave Hope Counseling clinicians have extensive experience working with Latinx/Hispanic and LGBTQ+ communities. We encourage you to review our website to see which provider feels like the best fit for you.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.