Parent / Guardian application

This form should be filled out by the child's parent or legal guardian.

Start parent form ›

School / Liaison application

This form should be filled out by a school faculty member or other family liaison.

Start liaison form ›

Before you start

Please review our eligibility guidelines first to make sure your child qualifies. Then have basic family information, school contact, and the proposed mental health provider's details ready.

If you have any questions during the process, contact us at info@ahavaschaya.com.