Grant Therapy Application
Hello! Thank you for your interest in Together We Heal Community (TWHC) Grant Therapy Program. This program is designed to support people who have lost a loved one access discounted individual therapy. We prioritize individuals who do not have insurance or do not have mental health coverage as part of their insurance. We encourage individuals to utilize and exhaust insurance options before applying. 
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Name:
Phone:
Email:
Brief summary of your need for therapy
Do you have insurance?
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If yes, who is your insurance provider and have you utilized your therapy options though them?
What is your desired outcome from these 6-8 sessions?
Do you have a previous therapist?
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If so, what is their name?
Who referred you to the grant process? 
Thank you for your application. It will be reviewed by the Grant Therapy Committee and you will hear back from us soon. In the meantime, please visit our website for other resources available.
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