FORMS
Not To Worry
We Work to Keep Things Simple
Submit payment request for your approved client.
Some Key Items You'll Need:
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Client 6 Digit Identifier
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Session Date​
We are not currently accepting new applications as we seek out additional funding.
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Want to help? Consider donating by clicking here
Complete a New Client Application for each new client
Some Key Items You'll Need:
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Treating clinicians info including license number and proof of training qualifications.
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Narrative describing clients financial need for services.
Once you're about 6 weeks from running out of approved sessions, please submit and application for renewal to request more sessions as needed.
Some Key Items You'll Need:
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Client 6 Digit Identifier
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Any changes to contact info or treating clinician
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A narrative describing clients continued financial need for services.
Complete after your Application for Services has been approved.
Some Key Items You'll Need:
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Client 6 Digit Identifier
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Session Date
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Share your client success stories here. Help show the community the value to supporting CTI.
Some Key Items You'll Need:
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You can cut and paste your story in to the form or just type it directly in to the form.