Mental health care should still be within reach.

Start an application See who it supports

Who this charity serves

Solace for Mums • Ages 17–24

Pregnancy and postpartum mental health care

Psychiatric evaluation, treatment support, medication guidance where clinically appropriate, and coordinated care during pregnancy or within the postpartum year.

Solace with My IDD • Ages 35+

Psychiatric care for developmental disabilities

Adapted psychiatric assessment and mental health treatment for adults with intellectual or developmental disabilities, with caregiver coordination when appropriate and consented.

Tell us about the need.

You may apply for yourself or help an applicant complete the form.

01

Program and applicant

Charity program *First name *Last name *Date of birth *Phone number *Email address *Insurance status *

02

Address and support contact

Street address *

City *

State *ZIP code *

Caregiver / support personCaregiver phone

Referral source

03

Needs and eligibility checkpoints

Choose a charity program above to see its checkpoints.

Other information that will help us review the need

04

Supporting documents

Attach at least one PDF, JPEG, or Word (.docx) file. Maximum 3 MB per file.

Document type *File *Choose PDF, JPEG, or DOCX

I acknowledge the HIPAA Privacy Notice and consent to My Solace Pointe securely reviewing and contacting me about this charity application.I confirm that the information and documents provided are accurate to the best of my knowledge. I understand that applying does not guarantee acceptance or free services.

Please do not use this form for emergencies. Call 911 for immediate danger or 988 for a mental health crisis.