Contact us.info@bravelyheal.com(989) 214-35616215 Dixie HighwayBridgeport, MI 48722 Name * First Name Last Name Email * Phone * (###) ### #### What is your preferred method of contact? * Phone call Text Message Email Who are you seeking support for? * My child My teen Myself A family member My school Unsure/Other Preferred Session Format * Check all that apply In person Virtual Not sure yet How did you hear about Bravely? * Referred by school Referred by a provider Google Search Social Media Friend/Family Psychology Today Other How do you plan to pay for your services? * Cash Pay Insurance If using insurance, what health insurance do you have? How can we help? * A brief overview of what you are looking for- don't worry about using the "right" words. Just share what you can. Thank you!
