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How To Book Therapy

 BEHAVIORAL HEALTH SERVICES 

Intake Form For Prospective Clients of Psychotherapy Services

Please be assured that the information you provide will only be used to help identify appropriate therapy services for you, and will be kept strictly confidential.

I am seeking:
Have you been in therapy previously?
Do you have insurance?

At this time, our LGBTQ Center does not take any insurance. If you have insurance, we can help you connect with a provider that can assist you.

Are you able to pay for your therapy sessions per our affordable sliding scale that ranges from $25 to $60 per session?

Our Resource Center offers services at low cost or no cost.  In order to keep this service sustainable, we rely on you and your best judgment regarding how much you will be able to pay for your therapy sessions.

Thank you for your interest in therapy services with North County LGBTQ Resource Center. We will be in touch with you as soon as possible.

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