Apply for a Scholarship

If you are a soldier or veteran dealing with the after-effects of a TBI, and interested in obtaining IM Therapy, please fill out our Scholarship form.

Scholarship Form
  1. Name(*)
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  2. Email
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  3. Phone Number(*)
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  4. Branch
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  5. Active Duty or Reserves (*)
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  6. Please tell us a bit about your TBI(s) to include how many, how long ago, treatments you may have received and symptoms you currently experience
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