Apply For Therapy

Welcome!

Wirth Foundation is accepting applications for FREE individual counselling services with one of our registered mental health professionals.

We aim to increase accessibility and reduce the stigma associated with seeking mental health support. We welcome individuals living in Canada and the United States, who are low-income and facing barriers to accessing support. We are able to provide 8 free sessions per client per 12 months.

This application will take you 5-10 minutes to complete. If you are in distress or crisis, such as experiencing suicidal thoughts, please call your local Crisis/Support Lines or 911 for immediate support.

IMPORTANT: Clients are eligible for 8 therapy sessions every 12 months from the initial date of application. If you re-apply before you are eligible, we will not accept your application.

Step 1: Contact Details

Important: By typing your phone number, you are providing consent for us to contact you using the provided phone number.

Important: Primary communication will be conducted through email. Please check your spam folder if you don't receive any correspondence from us.


Address

Not Canadian? Please apply here.

Step 2: About you

Step 3: Clinical Questions

Important: All the information you provide will be kept confidential and private.


Step 4: Financial Status

Important: We may ask you to present a copy of your tax return before you start receiving free counselling services. All the information you provide will be kept confidential and private.

Dependant 1


Step 5: Receiving Counselling Services

What will be your preferred format for counselling? (Multiple choice)

Step 6: Confirmation