BIPOC women’s reduced fee psychotherapy program
application form for the:
Supporting Black and Brown women to thrive
Program Information:
The BIPOC Women's Reduced Fee Psychotherapy Program exists to provide accessible mental health support to Black, Indigenous, and People of Colour (BIPOC) women facing financial hardship. This initiative aims to go some way to address barriers to accessing psychotherapy and promote mental well-being within our community.
Please Fill in all the sections of the form that apply to you. The more information you provide, the better we can assess your application.
Please note, submitting this form does not guarantee acceptance onto the program. Acceptance is based on a number of factors including availability of spaces on the program, eligibility, priority of need, etc.
All of the information you provide in this application is confidential. Any supporting documentation/evidence you submit along with your application will not be copied or shared, and will be destroyed once your application has been reviewed and a final outcome decided.
