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Use our secure online portal to update your credit card information. Click the link below to continue!

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Simply fill out the form and we’ll be in touch soon.

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Questions or not sure what next step to take? We’re here for you! During our working hours you’ll likely be able to connect with someone on our admin team immediately.

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First Name*

Last Name*

Email*

Phone*

Select Preferred Location*

State of Residence?*

If not in the US select "International"

Are you or the client(s) covered by Medicaid, CHP+ or a Medicare disability plan?

* We do accept some Medicaid plans, but will need to verify benefits.

Medicaid ID Number*

Date Of Birth*

How can we help?*

How would you like to be contacted?*

Phone

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* You will also receive a confirmation text and email upon submitting this form.

Do you consent to receiving text messages from Cornerstone Christian Counseling?*

Yes

*By checking YES, you agree to receive text communication from our office and billing teams.

Are you a robot?

Cornerstone accepts CCHA Medicaid but does not bill other insurances. We do provide superbills for potential reimbursement.

If you are experiencing a mental health emergency, including thoughts of harming yourself or others, please call 911 or go to your nearest emergency room immediately. You may also call the National Suicide Prevention Lifeline at
800-273-8255.

CO: (303) 902-3068 (call or text)
FL: (904) 439-4400 (call or text)

Careers: We’re Hiring!

update your card on file

Secure Online Portal

We’re Here For You

Call or Text Us

Get in Touch Today