Access Sex Therapy FundInterested in receiving funding for sex therapy services? Submit the information below and we will be in touch! Name * First Name Last Name Email * Phone * (###) ### #### Tell us about your barriers to receiving sex therapy services. * What type of services are you looking for? * Individual Therapy Relationship Therapy I verify that I am at least 18 years of age or older and have the ability to consent to psychotherapy services. * Yes No (If you are under 18 years of age, we are unable to offer funds at this time) How did you hear about us? Online Search Friend Advertisement Social Media Therapist Other Thank you! Your information has been submitted. We review applications quarterly and will follow up with you once we have made a determination.