Financial

Assistance


Employee Assistance Program

In some cases we have been successful in securing partial payment of treatment from the client's employer. If your situation requires this, please let us know, and we can investigate this option on your behalf.

Scholarship Program
The Helping Problem Gambling Foundation funds scholarships for up to 50% of the treatment costs based on need. Please fill out the Scholarship Request Form below or call Bob Cabaniss, our executive director, to be considered for this program.
Health Insurance
We will assist in helping you obtain payment from your insurance carrier. Please be aware that insurance payments are rare.
 

 

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Financial Assistance Form
Your Name:*
Your Email:*
Daytime Phone:*
Address:*
City:*
State:*
Zip Code:*
Date of Birth:
Present Employer:
Annual Income Per Year:
Credit Card Debt:
Bank Debt:
Morgage Debt:
Tell Us Somthing About Yourself (Why You Deserve The Scolarship):*
Submit
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