Telemedicine and Virtual Mental Health Services Eligibility Survey

Thank you for your interest in supporting the well-being of your youth workers. This brief eligibility survey helps determine whether your organization is eligible to enroll in the Youth Worker Well-Being Project’s telemedicine and virtual mental health services.

The survey should be completed by your organization’s Executive Director, CEO, or another individual authorized to make decisions on behalf of the organization. It should take approximately 10-15 minutes to complete.

By completing this survey, your organization may gain access to:

  • No-cost telemedicine and virtual mental health services for eligible youth workers
  • 24/7 access to care youth workers can use anytime
  • Confidential, convenient support from licensed providers including virtual urgent care and mental health services
  • A practical benefit for staff well-being, retention, and sustainability
  • Simple enrollment. This survey is the first step

If you are authorized to complete this survey, please click Next to proceed. If not, please exit the survey and share the survey link with the appropriate decision-maker.
Visit the website for more information.
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