LGBTQIA+ Affirming Providers
Thank you for helping Authentic Roots Therapy better serve our community!
Clinic Name *
Therapist Name *
Pronouns *
Website
Address *
Phone *
Do you offer telehealth care? *
Do you offer in-person care? *
Do you accept insurance? *
If accepting insurance, who are you in network with?
Current availability? *
Please continue to log in to this form(with same email) and keep your availability up-to-date.
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