Request form is currently closed.
Our help form is currently closed. The current demand for help is greater than the funding available. If you would like to donate to be able to open it again click here.
If you need immediate help please call 911 or use our resources page to find the appropriate assistance near you.
Request form
First things first, if you or someone you know is experiencing a mental health emergency or in IMMEDIATE danger, please call your local emergency number (e.g. 911 in the U.S.) Click here to find your country's helpline numbers if needed.
Please note: Our Therapy Funding Form opens once a quarter. Once you have signed up you will receive a submission email as well as a follow-up email from one of our team members. If the form is closed when you visit, no worries! Add your email in the form below and we will let you know as soon as it reopens!