{"id":4623,"date":"2023-01-19T14:30:05","date_gmt":"2023-01-19T19:30:05","guid":{"rendered":"https:\/\/reseaumtlnetwork.com\/?page_id=4623"},"modified":"2026-03-25T11:11:36","modified_gmt":"2026-03-25T15:11:36","slug":"mental-health-support-request-form","status":"publish","type":"page","link":"https:\/\/reseaumtlnetwork.com\/en\/mental-health-support-request-form\/","title":{"rendered":"Mental Health Support Request Form"},"content":{"rendered":"<h3>Are you a front-line worker in the Indigenous sector in Montreal?<\/h3>\n<p>The NETWORK is able to connect you with various types of mental health services and cover the initial fifteen sessions of therapy.<\/p>\n<p>Please fill out this short form so we can match you with the most relevant support.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Information:<\/strong><\/p>\n<ul>\n<li>Learn more about our <a class=\"lnk lnk--pink\" href=\"https:\/\/reseaumtlnetwork.com\/en\/our-actions\/mental-health-support\/\" target=\"_blank\" rel=\"noopener\">Mental Health program<\/a><\/li>\n<li>Read our <a class=\"lnk lnk--pink\" href=\"https:\/\/reseaumtlnetwork.com\/wp-content\/uploads\/2026\/03\/Internal-Policy-and-general-procedure-2025.pdf\" target=\"_blank\" rel=\"noopener\">Internal Policy<\/a><\/li>\n<li>Contact us at <a class=\"lnk lnk--pink\" href=\"mailto:mentalhealth@reseaumtlnetwork.com\" target=\"_blank\" rel=\"noopener\">mentalhealth@reseaumtlnetwork.com<\/a><\/li>\n<\/ul>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4518\"><form id=\"wpforms-form-4518\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4518\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/4623\" data-token=\"8504b9869bd88a73262529a14b38c9c5\" data-token-time=\"1776946586\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4518-field_44-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"44\"><div id=\"wpforms-4518-field_44\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>GENERAL INFORMATION<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4518-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_1\">Full name: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-4518-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_2\">Email: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4518-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-4518-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_4\">Phone number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-4518-field_5-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Are you an Indigenous person?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_5_1\" name=\"wpforms[fields][5]\" value=\"Yes \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_5_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_5_2\" name=\"wpforms[fields][5]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_5_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Indicating that you are a non-Indigenous person will not impact your eligibility to receive mental health support for frontline workers. <\/div><\/div><div id=\"wpforms-4518-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"46\" style=\"display:none;\"><label class=\"wpforms-field-label\">Are you a member of a First Nation with recognized status, or a member of one of the Inuit or M\u00e9tis communities recognized by a land claim organization? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_46_1\" name=\"wpforms[fields][46]\" value=\"Yes \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_46_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_46_2\" name=\"wpforms[fields][46]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_46_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">This will help us pre-verify your eligibility to other mental health related services. <\/div><\/div><div id=\"wpforms-4518-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"52\" style=\"display:none;\"><label class=\"wpforms-field-label\">What identification document do you have?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_52_1\" name=\"wpforms[fields][52]\" value=\"Indian Status Card\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_52_1\">Indian Status Card<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_52_2\" name=\"wpforms[fields][52]\" value=\"Inuit Beneficiary Card\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_52_2\">Inuit Beneficiary Card<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_52_3\" name=\"wpforms[fields][52]\" value=\"M\u00e9tis Citizenship Card\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_52_3\">M\u00e9tis Citizenship Card<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_56-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"56\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_56\">If you have selected Indian Status Card: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4518-field_56\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][56]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- S\u00e9lectionner un choix ---<\/option><option value=\"Mohawk from Akwesasne\"  class=\"choice-1 depth-1\"  >Mohawk from Akwesasne<\/option><option value=\"Naskapi from Kawawachikamach\"  class=\"choice-2 depth-1\"  >Naskapi from Kawawachikamach<\/option><option value=\"Cree from Bigstone\"  class=\"choice-3 depth-1\"  >Cree from Bigstone<\/option><option value=\"Cree from James Bay\"  class=\"choice-4 depth-1\"  >Cree from James Bay<\/option><option value=\"Qalipu Mi&#039;kmaq\"  class=\"choice-5 depth-1\"  >Qalipu Mi'kmaq<\/option><\/select><\/div><div id=\"wpforms-4518-field_57-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"57\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_57\">If you have selected Inuit Beneficiary Card: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4518-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- S\u00e9lectionner un choix ---<\/option><option value=\"Inuvialuit and Northwest Territories\"  class=\"choice-1 depth-1\"  >Inuvialuit and Northwest Territories<\/option><option value=\"Nunatsiavut\"  class=\"choice-2 depth-1\"  >Nunatsiavut<\/option><option value=\"Nunavik\"  class=\"choice-3 depth-1\"  >Nunavik<\/option><option value=\"Nunavut\"  class=\"choice-4 depth-1\"  >Nunavut<\/option><\/select><\/div><div id=\"wpforms-4518-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Do you work for a frontline program or organization in the Indigenous sector? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_6_1\" name=\"wpforms[fields][6]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_6_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_6_2\" name=\"wpforms[fields][6]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_6_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">A frontline program or organization directly assists community members.<\/div><\/div><div id=\"wpforms-4518-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_7\">Where do you work?  <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4518-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select your work place<\/option><option value=\"First People&#039;s Justice Centre of Montreal (FPJCM)\"  class=\"choice-3 depth-1\"  >First People's Justice Centre of Montreal (FPJCM)<\/option><option value=\"Indigenous Support Worker Project\"  class=\"choice-12 depth-1\"  >Indigenous Support Worker Project<\/option><option value=\"Makivik \"  class=\"choice-7 depth-1\"  >Makivik<\/option><option value=\"Native Friendship Centre of Montrea\"  class=\"choice-8 depth-1\"  >Native Friendship Centre of Montrea<\/option><option value=\"Native Montreal\"  class=\"choice-9 depth-1\"  >Native Montreal<\/option><option value=\"Native Women&#039;s Shelter of Montreal (NWSM)\"  class=\"choice-1 depth-1\"  >Native Women's Shelter of Montreal (NWSM)<\/option><option value=\"Projets Autochtones du Qu\u00e9bec (PAQ)\"  class=\"choice-2 depth-1\"  >Projets Autochtones du Qu\u00e9bec (PAQ)<\/option><option value=\"Resilience Montreal\"  class=\"choice-13 depth-1\"  >Resilience Montreal<\/option><option value=\"South Quebec Inuit Association (SQIA)\"  class=\"choice-10 depth-1\"  >South Quebec Inuit Association (SQIA)<\/option><option value=\"Ullivik\"  class=\"choice-5 depth-1\"  >Ullivik<\/option><option value=\"Chez Doris\"  class=\"choice-11 depth-1\"  >Chez Doris<\/option><option value=\"Doctors of the World\"  class=\"choice-4 depth-1\"  >Doctors of the World<\/option><option value=\"Ivirtivik\"  class=\"choice-6 depth-1\"  >Ivirtivik<\/option><option value=\"Plein Milieu \"  class=\"choice-14 depth-1\"  >Plein Milieu<\/option><option value=\"Other\"  class=\"choice-15 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-4518-field_8-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"8\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_8\">Other:<\/label><input type=\"text\" id=\"wpforms-4518-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><div class=\"wpforms-field-description\">Please specify where you work. <\/div><\/div><div id=\"wpforms-4518-field_53-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_53\">What is your professional title? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_53\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][53]\" required><\/div><div id=\"wpforms-4518-field_47-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"47\"><label class=\"wpforms-field-label\">Do you have personal or work insurance that covers mental health sessions with a therapist? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_47_1\" name=\"wpforms[fields][47]\" value=\"I have personal insurances\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_47_1\">I have personal insurances<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_47_3\" name=\"wpforms[fields][47]\" value=\"I have work insurances\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_47_3\">I have work insurances<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_47_2\" name=\"wpforms[fields][47]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_47_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_49-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"49\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_49\">What is the name of your insurance provider? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" required><\/div><div id=\"wpforms-4518-field_54-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"54\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_54\">What is the amount of your coverage for mental health support? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_54\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][54]\" required><\/div><div id=\"wpforms-4518-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_58\">Which mental health care provider(s) is\/are covered by your insurance? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_58\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-4518-field_55-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_55\">What is the renewal date of your coverage? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" required><\/div><div id=\"wpforms-4518-field_50-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"50\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_50\">Have you already used the sessions allocated by your insurance provider? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" required><\/div><div id=\"wpforms-4518-field_51-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"51\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_51\">If you would like to give us more details about your insurance, please do so below:<\/label><input type=\"text\" id=\"wpforms-4518-field_51\" class=\"wpforms-field-medium\" name=\"wpforms[fields][51]\" ><\/div><div id=\"wpforms-4518-field_43-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"43\"><div id=\"wpforms-4518-field_43\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>THERAPY PREFERENCES<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4518-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"9\"><label class=\"wpforms-field-label\">What language(s) do you prefer to receive therapy in? <\/label><ul id=\"wpforms-4518-field_9\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_9_1\" name=\"wpforms[fields][9]\" value=\"English\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_9_1\">English<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_9_2\" name=\"wpforms[fields][9]\" value=\"French \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_9_2\">French<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_9_3\" name=\"wpforms[fields][9]\" value=\"Can be in English or in French \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_9_3\">Can be in English or in French<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_9_4\" name=\"wpforms[fields][9]\" value=\"Other \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_9_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_10\">Other:<\/label><input type=\"text\" id=\"wpforms-4518-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><div class=\"wpforms-field-description\">Please specify your preferred language.<\/div><\/div><div id=\"wpforms-4518-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_11\">In whichever way you feel most comfortable, please write down your identities, social locators, and any other relevant information that may be applicable (race, ethnicity, faith, gender, sexuality, disability, communities, etc):<\/label><textarea id=\"wpforms-4518-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/textarea><div class=\"wpforms-field-description\">We will use this information to match you with the most relevant person to support you. <\/div><\/div><div id=\"wpforms-4518-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Would you like to receive therapy online, or in-person? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_12_1\" name=\"wpforms[fields][12]\" value=\"Online\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_12_1\">Online<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_12_2\" name=\"wpforms[fields][12]\" value=\"In person\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_12_2\">In person<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_12_3\" name=\"wpforms[fields][12]\" value=\"No preference\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_12_3\">No preference<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_13\">Please provide the neighbourhood(s) that you would like to receive therapy in: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4518-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><div class=\"wpforms-field-description\">Please note that providing a flexibility of options may speed up the wait time for accessing therapy.<\/div><\/div><div id=\"wpforms-4518-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_14\">Do you have any specific preferences for a mental health worker? (i.e., gender, spirituality, ethnicity, sexuality, etc)<\/label><textarea id=\"wpforms-4518-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/textarea><\/div><div id=\"wpforms-4518-field_31-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"31\"><div id=\"wpforms-4518-field_31\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>Please indicate your level of preferences for the following types of mental health support options:\u00a0<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4518-field_32-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"32\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-4518-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Support by an Elder <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_15_1\" name=\"wpforms[fields][15]\" value=\"Least preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_15_1\">Least preferable<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_15_2\" name=\"wpforms[fields][15]\" value=\"Acceptable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_15_2\">Acceptable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_15_3\" name=\"wpforms[fields][15]\" value=\"Most preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_15_3\">Most preferable<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_15_4\" name=\"wpforms[fields][15]\" value=\"N\/A\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_15_4\">N\/A<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please note that Elder support is available for Indigenous Individuals only <\/div><\/div><div id=\"wpforms-4518-field_59-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"59\"><label class=\"wpforms-field-label\">Group therapy<\/label><ul id=\"wpforms-4518-field_59\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_59_1\" name=\"wpforms[fields][59]\" value=\"Least preferable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_59_1\">Least preferable<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_59_2\" name=\"wpforms[fields][59]\" value=\"Acceptable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_59_2\">Acceptable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_59_3\" name=\"wpforms[fields][59]\" value=\"Most preferable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_59_3\">Most preferable<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_59_4\" name=\"wpforms[fields][59]\" value=\"N\/A\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_59_4\">N\/A<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-4518-field_18-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Psychotherapy counselling <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_18_1\" name=\"wpforms[fields][18]\" value=\"Least preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_18_1\">Least preferable<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_18_2\" name=\"wpforms[fields][18]\" value=\"Acceptable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_18_2\">Acceptable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_18_3\" name=\"wpforms[fields][18]\" value=\"Most preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_18_3\">Most preferable<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_60-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Cultural activities (sweat lodge ceremonies, Indigenous medicines, Indigenous arts and crafts, cultural retreats, traditional healing)<\/label><ul id=\"wpforms-4518-field_60\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_60_1\" name=\"wpforms[fields][60]\" value=\"Least preferable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_60_1\">Least preferable<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_60_2\" name=\"wpforms[fields][60]\" value=\"Acceptable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_60_2\">Acceptable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_60_3\" name=\"wpforms[fields][60]\" value=\"Most preferable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_60_3\">Most preferable<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_60_4\" name=\"wpforms[fields][60]\" value=\"N\/A\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_60_4\">N\/A<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-4518-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Creative arts therapy <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_17_1\" name=\"wpforms[fields][17]\" value=\"Least preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_17_1\">Least preferable<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_17_2\" name=\"wpforms[fields][17]\" value=\"Acceptable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_17_2\">Acceptable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_17_3\" name=\"wpforms[fields][17]\" value=\"Most preferable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_17_3\">Most preferable<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-4518-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Please indicate the number of sessions you would like to have: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_21_1\" name=\"wpforms[fields][21]\" value=\"1-5 sessions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_21_1\">1-5 sessions<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_21_2\" name=\"wpforms[fields][21]\" value=\"5-10 sessions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_21_2\">5-10 sessions<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4518-field_21_3\" name=\"wpforms[fields][21]\" value=\"10-15 sessions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_21_3\">10-15 sessions<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Currently, we can only cover up to 15 sessions per individual. Prolongations are possible depending on available budgets and the influx of requests.<\/div><\/div><div id=\"wpforms-4518-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-4518-field_19\">Without going into detail, please write down a short description as to why you are looking for mental health support: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-4518-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/textarea><div class=\"wpforms-field-description\">Examples may include: Burnout, stress, anxiety, traumatic event, grief, isolation, etc.<\/div><\/div><div id=\"wpforms-4518-field_26-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"26\"><div id=\"wpforms-4518-field_26\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>Please select your availabilities:<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4518-field_23-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"23\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-4518-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\"> Mondays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_22_1\" name=\"wpforms[fields][22][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_22_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_22_2\" name=\"wpforms[fields][22][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_22_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_22_3\" name=\"wpforms[fields][22][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_22_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_22_4\" name=\"wpforms[fields][22][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_22_4\">None<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Fridays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_25_1\" name=\"wpforms[fields][25][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_25_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_25_2\" name=\"wpforms[fields][25][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_25_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_25_3\" name=\"wpforms[fields][25][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_25_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_25_4\" name=\"wpforms[fields][25][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_25_4\">None<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-4518-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Tuesdays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_24_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_24_2\" name=\"wpforms[fields][24][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_24_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_24_3\" name=\"wpforms[fields][24][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_24_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_24_4\" name=\"wpforms[fields][24][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_24_4\">None<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Saturdays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_29_1\" name=\"wpforms[fields][29][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_29_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_29_2\" name=\"wpforms[fields][29][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_29_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_29_3\" name=\"wpforms[fields][29][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_29_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_29_4\" name=\"wpforms[fields][29][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_29_4\">None<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-4518-field_27-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Wednesdays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_27_1\" name=\"wpforms[fields][27][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_27_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_27_2\" name=\"wpforms[fields][27][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_27_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_27_3\" name=\"wpforms[fields][27][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_27_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_27_4\" name=\"wpforms[fields][27][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_27_4\">None<\/label><\/li><\/ul><\/div><div id=\"wpforms-4518-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Sundays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_30_1\" name=\"wpforms[fields][30][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_30_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_30_2\" name=\"wpforms[fields][30][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_30_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_30_3\" name=\"wpforms[fields][30][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_30_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_30_4\" name=\"wpforms[fields][30][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_30_4\">None<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-4518-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Thursdays <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4518-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Morning \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_28_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_28_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_28_3\" name=\"wpforms[fields][28][]\" value=\"Evening \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_28_3\">Evening<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4518-field_28_4\" name=\"wpforms[fields][28][]\" value=\"None\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4518-field_28_4\">None<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4518\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/reseaumtlnetwork.com\/en\/wp-json\/wp\/v2\/pages\/4623\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4518\" class=\"wpforms-submit\" data-alt-text=\"In progress\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/reseaumtlnetwork.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Are you a front-line worker in the Indigenous sector in Montreal? The NETWORK is able to connect you with various types of mental health services and cover the initial fifteen sessions of therapy. Please fill out this short form so we can match you with the most relevant support. &nbsp; Information: Learn more about our [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4623","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mental Health Support Request Form - Montreal Indigenous Community NETWORK<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/reseaumtlnetwork.com\/en\/mental-health-support-request-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are you a front-line worker in the Indigenous sector in Montreal?\" \/>\n<meta property=\"og:description\" content=\"The NETWORK is able to connect you with various types of mental health services and cover the initial five sessions of therapy. 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