Radical Healing Collaborative Appointment Request Form - Therapy
Please read before completing form:
We will do our best to match you with a therapist who aligns with your preferences.
We are only able to offer weekly appointments at this time. Sessions may be moved to biweekly at the discretion of the therapist once care is established.
Our clinicians do not offer weekend appointments.
Our therapists are only available to provide care for clients who are residing in North Carolina due to state licensure restrictions.
Many of our clinicians have waitlists for new insurance and self-pay patients.
We accept Aetna and all BCBS plans except Blue Value, Blue Local, and Blue Home. We do not accept Medicaid, Medicare, United Healthcare, or Cigna.
If you are seeking psychological testing or a clinical assessment, please note that these services are often not covered by insurance; out-of-pocket costs range from $1,500 - $5,500.
If you or someone you know is experiencing mental health emergency, please consider using any of the below crisis resources:
Hotlines:
The Trans Lifeline at 877-565-8860
Blackline at 800-604-5841 (prioritizes BIPOC callers)
The Samaritans Hotline at 877-870-4673
The National Domestic Violence Hotline at 800-799-7233
In-Person Crisis Resources:
Your nearest emergency room, or any of the below:
Carolina Outreach Behavioral Health Urgent Care 919-251-9009 (Durham County)
Durham Recovery Response Center 919-510-9132
Triangle Springs 919-372-4318 (Raleigh/Durham)
Pasadena Villa 877-845-5235 (Raleigh/Charlotte)
Wake County Crisis Stabilization Center 984-974-4800 (Wake County)
Holly Hill Respond 919-250-7000 (Wake County)
Please complete the following section for yourself or if you are a legal guardian, your dependent minor.
Insurance and Payment Information