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Affinity Healing Collective 501(c)(3) Funding Application

This application is for funding requests to support therapy services for clients or to provide funding for therapists to cover training or respite.

If you experience any issues with the online application or additional materials, send a direct message to info @ affinityhealingcollective.com.

*This form is to be filled out by the therapist on behalf of the client

*This form is to be filled out by the client

Empowering Wellness, Fostering Hope

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If you prefer to reach us online, please use the contact form to the right. We aim to respond to inquiries promptly.

If you experience any issues with the online contact form, send a direct message to info @ affinityhealingcollective.com.

Online Contact Form