To help determine if you qualify for financial assistance, please read, complete and submit this application form. All reduce rates are evaluated every 6 months.
1. Review all information very carefully.
2. Complete all fields completely and accurately.
3. Gather and email the required documentation to intake@findyourwell.com
.
**Please send in two of the following options below**
1. Copy of last year federal income tax
2. Three most recent paystubs
3. All income statements from jobs last year (W2 or 1099)
Note: Application can not be reviewed if any documentation is missing. All requirements are listed above in order to successfully complete the application review process.
What happens after application has been submitted?
*Please allow 3-5 business days for processing*
You will be contacted by email with a status update of your application submission and/or request for any additional or missing information that is necessary to complete your application.
Well Psychotherapy will determine eligibility based on a combination of responses and availability of spaces. If we are unable to assist at this time, please know that you will be added to a waitlist and that we reassess every six months. Please reapply at any time if your circumstances change.
