Apply for help

Taking the first step takes courage. Tell us a little about yourself and what you're going through, and our team will personally reach out about the next steps toward healing. Everything you share is private and confidential.

Open to U.S. veterans, active duty, reservists & first responders, 18+

If you're in crisis or having thoughts of suicide, please reach out now.
Call or text 988, then press 1 for the Veterans Crisis Line. You are not alone.

You apply

Share your story in the form below.

We connect

Our team reaches out personally to learn more.

You're matched

We guide you to the right program and support.

About you

Full name *

Email *

Phone *

City & State *

Date of birth *

Best way to reach you

Your service

I am a *

Branch of service

Approx. years served

Did you deploy to combat?

What you're seeking help with

This helps us match you to the right program. Share only what you're comfortable with.

What are you hoping to find healing for? (check all that apply) PTSD Traumatic brain injury (TBI) Depression Anxiety Substance use Chronic pain Moral injury Grief or loss Other Are you currently working with a doctor or mental-health provider? Are you currently taking any medications? (optional) Have you tried psychedelic-assisted therapy before?

Addiction

Are you currently struggling with addiction? If yes, what are you struggling with? (check all that apply) Cannabis Alcohol Kratom Cocaine Heroin Opioids Fentanyl Other Anything else you'd like to share about this? (optional)

Program & logistics

Which program(s) are you open to?

Able to travel for treatment if needed?

Ideal timeframe

Scholarship & support

How much scholarship funding are you seeking? Are you able to contribute any portion of the cost? Anything about your financial situation we should know? (optional)

How you found us

How did you hear about Forward Intent? If someone referred you, who? (optional)

Your story

Tell us anything you'd like us to know, and how we can best support you

Consent

I consent to Forward Intent contacting me about my application. * I understand my information is kept private and confidential. *

Your application is private and stored securely by Forward Intent.