We Rock for Autism

musictherapy

Application for Assistance

We Rock for Autism works to assistance children with autism receive music therapy session. We are currently accepting applications for assistance.

 

APPLICANTS / APPLYING FAMILIES MUST FOLLOW THESE GUIDELINES:

 

Application can be submitted by a parent or guardian
Only ONE applications can be submitted per child
Family must live in South Florida
Family must be able to attend 8 sessions at a provider located in Hollywood, FL
Sessions are offered to families that DO NOT have insurance that will cover music therapy (proof may be required)
Family will be responsible for $5 for each session, to be paid directly to the provider at the time of service
Family subject to review and all policies designated by service provider

Applications are subject to review and approval of We Rock for Autism Board Members, as well as the staff, doctors and therapy providers at providers location. Families may be contacted by We Rock for Autism or the provider for more information.

 

*For more information, please contact Chris Wilson [email protected]

 

COMPLETED APPLICATIONS CAN BE EMAILED TO:

[email protected]

 

OR MAILED TO:

We Rock for Autism

PO BOX 245584

Pembroke Pines, FL 33024

 

CLICK THE LINK BELOW TO ACCESS THE APPLICATION:

 

WRFA_ApplicationForAssistance