We offer assistance based on a sliding scale. A separate form, including documentation, will be required.
Currently, we can only file BCBS insurance for mental health counseling; however, we can provide receipts for you to file your own insurance.
This form will automatically be submitted to the Intake Coordinator at firstname.lastname@example.org. If you have any questions once this form is submitted, you can email them to us at that address.
Thank you so much for your interest in Living Bread!
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