Get Funding for Your Holistic TherapyYou could get up to 75% funding off a course of treatment."*" indicates required fields1About You2About Your Benefits3About Your TherapyName* First Last Email* Phone*Address* Address Line 1 Address Line 2 City County Postal Code Benefits*Choose one or more benefits that you are currently receiving. Income-based Jobseeker’s Allowance Income-related Employment and Support Allowance Income Support Pension Credit Tax Credits (Child Tax Credit and Working Tax Credit) Housing Benefit Council Tax Support Social Fund (Sure Start Maternity Grant, Funeral Payment, Cold Weather Payment) Universal Credit OtherTherapy*Choose the type of therapy that you want the grant for.Please select...chiropracticosteopathyacupunctureherbal medicinehomeopathyaromatherapyAlexander techniquemassage and similar body work therapiescounsellingstress relief therapyhypnotherapyreflexologyshiatsumeditationspiritual healingConsent* I consent to 3 Counties Holistic Healthcare contacting me with regard to this application.NameThis field is for validation purposes and should be left unchanged.Δ