Financial Assistance
Program Application
At Disha Mental Health and Wellness, we are committed to making mental healthcare accessible. Our financial assistance program reserves limited spots for clients facing economic challenges. This application helps us understand your situation and explore potential accommodations.
Before You Begin Section
What You'll Need:
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5-7 minutes to complete the form
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Basic financial information (income, expenses)
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If available, recent pay stubs or income documentation
Our Process:
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Submit Application → Complete this confidential form
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Review Period → Our team assesses eligibility (3-5 business days)
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Personalised Response → We contact you to discuss options
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Next Steps → If approved, schedule your first session
Important Notes:
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All information is kept strictly confidential
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Submission does not guarantee approval
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Limited spots are available and allocated based on need
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Current fee: ₹1,500 to ₹2,500 per Individual session (standard rate for reference)
Application Form
Complete this confidential form to request consideration for reduced-fee therapy sessions.