To request financial resources for mental health treatment for yourself or someone in your family please follow the steps below.

  1. Download the Financial Assistance Application Form by clicking the button below.

  2. Mail the completed form to the Mental Health Matters Fund P.O. Box

    Mental Health Matters Fund

    P.O. Box 921

    Channahon, IL 60410

Due to HIPAA Regulations and to protect your privacy, we cannot accept forms via email at this time.