Request Therapy & Verify Your Insurance

Begin therapy with Valiant Minds Counseling

Thank you for considering Valiant Minds Counseling. Complete the secure form below so our team can review your needs, confirm whether we participate with your insurance plan, and help identify an appropriate therapist.

What Happens After You Submit the Form?

  1. We review your request and the type of support you are seeking.
  2. We verify your insurance benefits when applicable, including available information about copays, deductibles, and eligibility.
  3. We consider therapist fit and availability based on your goals, scheduling needs, and preferences.
  4. We contact you about next steps. Please allow approximately 2–5 business days. Response times may be longer during periods of high referral volume.

Please note: Submitting this form is a request for services and does not establish a therapist-client relationship or guarantee an appointment. Insurance information is not a guarantee of payment; final coverage is determined by your insurance plan.

This form is not monitored for emergencies. If you are experiencing an immediate mental health emergency, call 911, call or text 988, or go to the nearest emergency department.

Secure Therapy Request Form

Please answer each question as completely as possible so we can assist you efficiently.