Apply for a personalized counseling grant Name * First Name Last Name Email * Phone (###) ### #### Tell us about the barriers to care * Check all that apply * I have no insurance I have insurance but a high deductible I have insurance but have a copay I'm not sure what I have I have insurance but it doesn't cover counseling Thank you! We will get back to you with a decision soon. If this is an emergency call 911, 988 or head to the nearest emergency room.