Financial Assistance for Access to Mental Health Services

DRT Brain Love Foundation is a 501(c)(3) Mental Health Foundation created in 2018 by Dr. Delvena. The foundation raises money to help fill in the gap financially so that new patients can access mental health care and established patients who experience a financial challenge may continue to access care.

If you or someone you know can benefit from our services, please complete the survey below. Thank you.

Note: Signing in to a Google Account is not required to complete the application. 

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First Name *
Last Name *
Phone Number *
Email Address *
Are you currently employed? *
Do you currently have health insurance coverage? *
What is your specialist copay? *
What is your health insurance deductible? *
What services are you interested in? *
Check all that apply. 
Obligatoire
Have you had recent financial challenge?
 *
What type of financial challenges are you having? *
Check all the apply. 
Obligatoire
What can you afford to pay towards your care for a session?
 *
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