Therapy Services Application

Welcome to Sahaba Initiative's Therapy Services Application 
This form is for community members interested in receiving therapy services through Sahaba Initiative.

Sahaba Initiative's Therapy Services are primarily intended for clients with limited income or an inability to cover the typical full cost of therapy services. As part of this form, please indicate which of our therapists, if any, you are interested in scheduling a consultation with. If you have been referred by one of our therapists for low-cost services, please indicate that in your application. 

After submitting your request form, if you are eligible for low-cost mental health services, we will reach out to you with further instructions on scheduling your first consultation with one of our therapists.

To complete this application, you will need to upload: 

- Your drivers license and/or ID

- Your financial information (ex. monthly income, assets)

Please allow 3-4 business days to get in touch with you either via email or over the phone. If you have any questions in the meantime or you have not heard from someone, please email us at

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