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Foster Parent Therapy Waitlist
In emergencies, please contact 911 or the California Family Urgent Response Team 833-939-3877
NOTE: If you are a Medi-Cal recipient, you have access to no-cost individual therapy and can contact 211
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Email
*
Your email
Name (First & Last)
*
Your answer
Which service are you hoping to receive?
*
Choose
Individual therapy
Parenting Coaching (Nurtured Heart Approach)
Pre-Placement Counseling
Counseling after Reunification or Disruption
Parenting Therapy for Couples
Unsure/I need to consult with you about this
Are you able to engage in telehealth (via Google Meet or Zoom) in a private place?
*
Yes
No
Please indicate if you are interested in exploring private pay options or insurance coverage options
*
Private Pay (Discounted rate for kinship families)
Insurance - Cigna
Insurance - Aetna
Insurance - Health Net
Unsure/I need to consult with you about this
Please indicate which options describe you (check all that apply)
*
Adoptive Parent
Resource Parent (Foster Parent)
Kinship Parent (include non-related kin care)
Other:
Required
Briefly describe your current need for counseling.
- Do not use full names or identifying information
- Ages/genders are OK
Note: You will have an opportunity for a free consultation when you are at the top of the waitlist, do not feel pressured. No one family will receive preference based on this answer.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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