Have questions or need more information? We’re here to help! Use the form below to ask any questions, and our team will get back to you with the guidance you need.
PLEASE NOTE: This form is encrypted in compliance with HIPAA. Clarity has a written BAA (business associate agreement) with Google to protect information you submit.
Completing this form does not guarantee your placement with a counselor. Assignments are made based on availability and the skill sets of available counselors. All information disclosed on this form are confidential and will not be sold or distributed except as allowed by law for Insurance billing purposes.
