Add Your Organization to the IBH Resource Map

Organization/ Provider Name *

Contact Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Service Platforms Offered *

Is Your Clinic PCBH integrated?

What Services do You Offer? *

What Insurance Providers Does Your Organization Accept?

Website / URL

Is There an Intake Process to Receive BH Services (Either Remotely or In-Person)?

Pleease include if BH Services are Available Only to Patients of Your Specific System/Organization

Are You Accepting New Patients?

Are There Bilingual or Spanish Speaking Providers/Services Available?