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Restoring Wholeness: Help Me Find A Provider

Whether you've never seen a therapist before or just need help navigating the process, we're here. Someone from our team will reach out within 2–3 business days to listen and help you find the right fit.
This is part of The Local Church's Restoring Wholeness program. Learn more here.
🔒 Your privacy matters. This form is only seen by a small, trusted team. Nothing you share will ever leave that circle without your permission.

About you

First name

Last name

Best way to reach you

Best way to reach you
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Email address

Phone number

Zip code

Helps us find providers near you.

What's going on

Is there anything you'd like to share about what's brought you here?

A word or a sentence is enough — or leave this blank. We'll create space to talk when we connect.

Have you seen a therapist or counselor before?

Have you seen a therapist or counselor before?
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B
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Any preferences for a provider?

For example: gender, faith-sensitive approach, virtual vs. in-person, specialty area, cultural background — anything that matters to you.

Financial support

Do you also need help with the cost of counseling?

We offer scholarships to cover the first three sessions for those who need it. No paperwork — just a brief, confidential conversation.
Do you also need help with the cost of counseling?
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C
If you already have a provider and primarily need scholarship support, you can go straight to our counseling scholarship application. It's a short, separate form.

One more thing...

How did you hear about this program?