Therapy Grant Application
The Long Island Institute of Sex Therapy (LIIST) has 2 grants available for 2 individuals, couples, relationships, families, or households where at least one member is employed in Uniformed Services.

Your sessions will be free for up to one year, and will be with a LIIST staff therapist, who will be paid their usual rate.

Your eligibility for this grant will be determined by Dr. Torrisi. To apply, please fill out this form.

We will put out another notice when the 2 grants have been distributed.

*What does uniformed services mean?*
Those employed in uniformed services are people who wear a distinct uniform that differentiates them from the general public. Their purpose is to maintain the peace, security, safety, and health of the public they serve.

Examples include postal workers, military personnel, police officers, emergency medical technicians, and firefighters.

For this grant, we will also accept applications from those employed in medical settings such as hospitals and clinics. This can include technicians, medical doctors, physician assistants, nurses, social workers, and maintenance staff.
Full Name You Go By *
Date of birth *
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Email *
Address - # and Street *
Address - City, State, Zip *
Cell phone *
Other phone
Career Field
I work___ *
Required
Race *
Ethnicity *
Would you be able to attend therapy in either English or Spanish? *
Required
Gender *
Gender pronous
Sexual orientation
Clear selection
Untitled Title
Untitled Title
Clear selection
Current relationship status
Clear selection
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