Therapy Reimbursement Support for Texans Impacted by Flooding

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you’ve been affected by the recent Central Texas floods—we want to help support your mental health.

We’re offering up to $50 per session for 10 therapy sessions per individual/ first responder to help cover the cost of trauma, grief, or other mental health care.

How It Works:

Already seeing a provider? You can keep working with them and apply for reimbursement.
Need a provider? We’ll help connect you to a licensed, trauma-informed professional in your area.
Simple process. Submit your superbill and amount requested, and we’ll reimburse you directly.

Important Notes:

Providers must be licensed in Texas and listed on the Safe Haven Resource Page.
Reimbursement is up to $50/session, for a maximum of 10 sessions/individual.
Funds are limited and based on availability.
Only basic information is required—your private therapy notes are never shared.
Requests are processed monthly, with reimbursement issued within 30 days.

Your trust matters. Your information will only be shared with our care coordination team to ensure a safe, respectful process.

Questions? Email connect@the-mwc.org

Want to donate? Click here.

Email *

Record my email address with my response

First Name *

Last Name *

Preferred email *

Preferred phone number *

Preferred method of contact *

phone

either

Required

Are you already working with a provider and would like to continue *

Yes

For those already working with a provider, please indicate zip code of where you receive services. If virtual, indicate so. Put N/A if not applicable

If not presently working with a provider, what zip code would you prefer services, and if virtual only, please indicate. Please put N/A if not applicable *

Current city of residence *

What type of care are you looking for/currently receiving? *

Grief + loss support

Trauma therapy including Accelerated Resolution Therapy, EMDR, Brainspotting, Neurofeedback.

Anxiety or stress support

Depression support

Therapy for my minor child

Therapy for my family

Therapy for me

Required

Very briefly, as you feel comfortable, share how you've been impacted by Central Texas flooding.

Were you a first responder to Central Texas flooding *

Yes

My loved one is

Therapy preference *

Virtual

In person

No preference

Required

Preferred language of provider *

Is there anything else you'd like us to know? *

Consent + next steps

I understand this form expresses interest and does not guarantee therapy reimbursement or match.

I understand my information will be kept confidential and shared only with the matching team for the purpose of coordinating care.

I understand I will be provided with three therapists that meet as many of my preference requests as possible and I will be provided with their contact information to schedule services. The Mental Wellness Collective will not schedule your sessions, nor speak with your provider about your treatment progress. (applicable only for those not yet under care of a provider

I understand the terms of this reimbursement program and consent to MWC coordinating with me for the purposes of verifying eligibility and issuing reimbursement. I affirm that I am currently receiving therapy services and would like to continue care with my chosen provider.

Failure to check the applicable boxes above (1 and 2 required, 3 and 4 based on applicability) to be considered for reimbursement.

Please type your full name as your digital signature stating you've read the above form in full, agree to terms, and will email connect@the-mwc.org for any additional questions. *

date *

YYYY

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Mental Wellness Collective.

Does this form look suspicious? Report

Forms