A Fresh Start, Backed By A Caring Community
Verb Network walks alongside you with judgment-free support, practical tools, and a trusted team committed to your growth.
What To Expect From This Form
This short intake form is designed to be simple, secure, and respectful of your time.
- Takes less than 5 minutes to complete
- Your information is entirely confidential
- You are in a safe, judgment-free space
Mailing Address
VERB Network
3985 Parkwood Rd Ste 109-107
Bessemer, AL 35022
Hours of Operation
- Monday - Friday: 9:00 AM to 6:00 PM
- Saturday: 10:00 AM to 2:00 PM, by appointment
- Sunday: By appointment for events
Get in Touch
Phone: 205-791-7059
Email: info@verbnetwork.org
Before You Begin Your Intake
This short intake form helps Verb Network understand your story, needs, and goals so support can be tailored to you. You can pause and return if you need a moment, and you never have to share more than feels right for you.
What Happens Next
Review: A member of the Verb Network team carefully reviews your intake details with respect and confidentiality.
Response: Within 24–48 business hours, someone from the team reaches out via phone or email using the contact information you provide.
Next Steps: Together, you discuss your goals, answer any questions, and explore the best next steps for your support journey.
Ready to Begin?
Click the button below to open our secure intake form.
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