LGBT Center of Raleigh

119 East Hargett Street - Raleigh NC 27601 - 919-832-4484

Mental Health Provider Concerns

Your experience with Mental Health providers listed on our site is important to us! If you have information that you believe we should know, please fill out this form and tell us your concerns. This information will be reviewed by our Mental Health HealthWorks Team.

Please provide your contact information. A member of our Mental Health HealthWorks Team will contact you if additional information is needed to deal with your concern. Do NOT enter any sensitive issue on this form.

All concerns, comments, and issues are held in the strictest confidence between you and the Center’s Mental Health HealthWorks Team. Thank you for providing this important feedback.

Your Contact Information
Your Concern
Please provide the Mental Health Provider's name.
Do NOT enter any sensitive issue on this form! Characters remaining: 227

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