Aid for qualifying lower-income families

As a 501(c)(3), Zen Hypnosis prioritizes helping lower-income families who qualify receive alternative health / mind-body support when private-pay care is out of reach.

This form is an intake request — not automatic approval. Capacity, funding, and clinical fit apply. For paid private sessions anytime, use Book & Pay.

Request screening

Full name Email Phone (optional) Household size Select… 1234 56+ Approximate monthly household income range Select… Under $1,500 $1,500–$2,500 $2,500–$4,000 $4,000–$6,000 Over $6,000 (may still inquire) What kind of help are you seeking? Are you currently in crisis or need emergency care? No — I can wait for scheduled support Yes — I need crisis / emergency help now

If you are in crisis, call 911 or 988 (US Suicide & Crisis Lifeline). Zen Hypnosis is not an emergency service.

Submit aid request