Interested in Mental Health Navigation at Berkeley City College?
As we are launching our program, please let us know if you'd like to be one of the first to receive our services!

Our focus is finding you community providers for your mental and physical health needs or helping you find a provider that fits your insurance.
Sign in to Google to save your progress. Learn more
Legal Name *
Preferred Name if different from legal name
Pronouns (Select all that apply)
*
Required
Email *
Do you currently have Insurance? (Select all that apply)
*
Required
What aspect of your insurance do you need help navigating? (Select all that apply)
*
Required
Are you a current Berkeley City College Student? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy