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Sport Stadium

Medical Financial Assistance Request

The Mental Health Alliance for Athletes offers copay financial assistance to athletes of all ages, providing crucial support for mental health care expenses. Through a simple form submission process, athletes can access financial aid tailored to their needs, ensuring that no individual is hindered from seeking vital mental health support due to financial constraints. By prioritizing the mental well-being of athletes across all age groups, the Alliance champions inclusivity and equitable access to mental health resources within the sporting community, fostering a culture of holistic health and resilience.

Medical Financial Assistance Request

Complete the financial assistance request form by filling in all required fields accurately. Provide detailed information about your financial situation. Review for completeness and accuracy before submission.

Birthday
Date of Appointment
Type of Financial Assistance Requested
Co-Pay Assistance
Medical Bill Assistance
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