Behavioral Health Association Member Spotlight Submission

Welcome!

We're excited to spotlight the incredible work being done by our members across the behavioral health sector. 

Your practice or organization has a unique story, and we'd love to share it with the broader community. 
Please fill out the form below to submit your spotlight. 
 
We can't wait to celebrate your contributions!

Contact Information

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Full Name:*

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Role/Title: *

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Email Address:*

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Phone Number:*

About Your Practice/Organization

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Name of Practice/Organization:*

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Website (if applicable):

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Photo: Please upload a high-resolution photo representing your practice/organization or a professional headshot. Three photo maximum*
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Your Work and Services

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Who Do You Serve? (Describe the demographics and types of clients your practice/organization serves.)*

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Services You Offer? (Please describe the key services and support your practice or organization provides.)*

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Mission and Values: (What core mission and values guide your work?)*

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What Makes Your Practice or Organization Unique? (Share what sets your services apart from others in the behavioral health field.)*

Anything Else You’d Like to Share:

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Feel free to include any other information or insights (success stories, challenges overcome, future goals) you’d like to share about your practice/organization.)

Consent and Submission

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The date format is incorrect, please ensure the date format is YYYY-MM-DD

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Today's Date:*

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Consent and Submission for the NMBHPA Website.*

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