Application for Funding for Counselling Support

Application for funded counselling support through Huntington’s Youth Organisation New Zealand (HDYO NZ). Up to a total of six sessions funded at 100% up to $100 and an additional six sessions each funded at 50% up to $50 per session. 

If funding is accepted then the client/referrer will need to find a therapist and send each session invoice to HDYO NZ OR inform HDYO NZ they would prefer to be recommended a therapist.

As part of the requirement in gaining funding HDYO NZ asks that the applicants complete a satisfaction survey, at the end of the counselling services for improvement of services.

Eligibility criteria - please make sure you meet the below criteria before completing this application form

1) The individual must be at risk or have an immediate family member or partner at risk of Huntington's disease (Documentation may be requested)

2) Young people aged up to 35

 3) The reason for needing the Counselling Support must be due to the impact Huntington's Disease has had directly or indirectly on the individual

4) The individual who the funding is requested for must reside in New Zealand

 5) The organisation and counsellor must reside in New Zealand

 The Board will consider other individuals on a case by case basis. 

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Email *
First Name
Last Name
Phone number
Postal Address
Date of Birth
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Relationship to someone with Huntington's Disease
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The reason for your application is: (include connection to Huntington's Disease)
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