Mental Health Assistance

The First Response Wellness Foundation (FRWF) is a nonprofit organization that was designed to help you make it home to your family every day, because even when it seems like things are going wrong, people still need you. We understand that asking for help is stressful and many first responders are worried about the stigma surrounding mental health.

We are here to tell you, WE UNDERSTAND, we are here to help YOU. We provide 100% anonymous clinical funding to first responders nationwide. We provide the money directly to a clinician, so all you have to do is show up and care for yourself.

Take the First Step of Taking Care of Yourself.

First Name

Last Name

Date of Birth required

Agency You Work For

Position/Rank at Current Agency

Phone Number

Years of Service

State of Residency

Preferred Psychologist/Psychiatrist

Clinician Phone Number

Proof of Employment

Upload Image (proof of eployment)

Upload image to prove employment.

I understand that by submitting this information I am providing my electronic signature, consenting to share this information with clinicians to provide me with mental health care. I also understand that the First Response Wellness Foundation reserves the right to contact me via telephone, email, or mail as it seems necessary. The First Response Wellness Foundation also has my permission to utilize the information I have provided, except your name, address, phone number, email address and any other form of identifying information to provide supplemental data for grant purposes. I understand that failure to attend my clinical sessions as they have been paid for by the First Response Wellness Foundation may result in me being ordered to repay the full amount that was provided by the First Response Wellness Foundation, directly to the First Response Wellness Foundation, with no interest. I understand that the First Response Wellness Foundation reserves the right to terminate payment of services at the sole discretion of the First Response Wellness Foundation.

I understand that if I selected 'yes' to currently being suicidal, the First Response Wellness Foundation will contact your local police department and request a welfare check on me. I understand this is to benefit me and does not violate HIPAA, nor the agreement of remaining anonymous as this is an exigent circumstance that requires immediate assistance, which our organization does not provide directly.

I agree to the terms & conditions

Thank you for asking for help, we see you and we understand. Please allow up to 72 hours for us to reaach out to you. If you are experiencing a mental health emergency, please contact 911.