Become an MFI Alternative Provider - MindFreedom International (MFI)

Name*
First Last
Business Name
Website
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Services Provided*
Is a sliding scale available?*
- Yes
- No
Service Rates*
Verification*
- I agree to adhere to the MindFreedom Principles for Mental Health Alternatives

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