THE ASSISTANCE REQUEST FORM
July 9, 2021 Update:
We are currently pausing our financial assistance requests. We certainly can help you find a resource or refer you in the meantime!
If you are in need of any assistance regarding mental health, please continue to fill out this form. Whether it's with finances for a mental health service you are receiving, a referral for a mental health service you are seeking, or if you are just in need of a resource, you name it.
Please note that all fields are required.