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MHB Consultation Request Form

Prospective parents may use this form to request a private consultation with one or more providers* who participate in our Membership Benefits Program (MBP)** and/or our Gay Parenting Assistance program (GPAP).*** Once you submit this information we will forward it to the selected providers and they will contact you to coordinate a consultation in person, via phone or online. Your information will remain confidential and only shared with the service providers you indicated (but first you will receive a confirmation email to verify that you indeed submitted this request).
Note that you do not need to be approved for benefits to reach out to providers through this form - anyone can take advantage of this universal form to reach out to multiple services providers in one step!

* You can see the updated list of participating providers here.
** For more information about MBP see here.
*** For more information about GPAP see here.