Child Impact Program

Discount Eligibility Request

Please complete the form in it’s entirety and then submit.

Once the financials are reviewed, you will receive a phone call to discuss the outcome and next steps.

Submission of this form DOES NOT automatically register you for a Child Impact Class.

Your information will be reviewed against income guidelines to determine if you qualify for assistance. After a review is conducted, you will receive an email from training@mhcgm.org advising you of the findings, with instructions as to how to register for the course with any application tuition assistance.

  • This field is for validation purposes and should be left unchanged.

New Appointments are now made via Open Access without long waits!
Looking to schedule an appointment? Call MHCGM to discuss your concern. Once all your information is gathered you will be instructed to show up for an open access date! 

Search

For a Mental Health Emergency, Call 988

Call/chat (833) 710-6477

Schedule an Appointment

Call (603) 668-4111

Main Office Line

Call (603) 668-4111

For a Directory of Services and Departments, Click Here

Newsletter Signup