Please complete this form to become a member of our statewide virtual wellness center.
We are required by our funders to gather this limited information. THIS INFORMATION WILL NEVER BE SHARED OUTSIDE OF THE MENTAL HEALTH ASSOCIATION.
*Please Note: You will not receive a confirmation link after submission. Please allow 2-3 days before you begin receiving the daily newsletters
If you have any questions or challenges you can contact us at email@example.com or 609-652-3800