To learn more about our mental health center or set up an appointment call the office nearest you!  

Funding Applications

You may be eligible for county assisted funding/support if you do not have insurance or your insurance does not cover mental health services. The application below may be completed should you wish to see if you qualify. This application is handled by the CPC. Filing this application is not guarantee eligibility for funding and at the discretion of the county.

CPC Application Forms

Please select the appropriate CPC form below that is in the county you are residing in.

PDF File Buena Vista CPC Application Form

PDF File Cherokee CPC Application Form

PDF File Ida CPC Application Form

PDF File Plymouth CPC Application Form