Adults with SMA Virtual Therapy Program

 

Please fill out the form below to request a complementary voucher through the Adults with SMA Virtual Therapy Program to help with providing mental health support to the adult community. Upon submitting the request form below, Cure SMA staff will be reviewing each registration to confirm eligibility. You will receive a separate confirmation email with your voucher from Talkspace once approved. This request form is for one voucher. The Adults with SMA Virtual Therapy Program provides a maximum of three session vouchers per person; If after your first session you are interested in another, you will need to fill out this form again to request another session.

Please email familysupport@curesma.org with any questions.

Eligibility Criteria:

  • Voucher is provided to adults with SMA ages 18 or older, or a legal guardian of the affected individual.
  • Must be officially diagnosed with SMA.
  • Must live within the United States.
  • Limit three separate requests per affected individual.
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Question - Required - Affected Individuals Diagnosis Date:




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