Kelly Mental Health Foundation
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In 2020, amounts raised for Andrew's Fund covered 77 professional counselling sessions for individuals that were battling depression or affected directly by the suicide of another person. 

Together, we can do more.

What it's about

Andrew Miedema was a well-loved and deeply respected member of our community that lost his life to suicide. In his memory, several of his friends formed the Andrew Miedema Foundation to raise funds for programming to help others access mental health services. It is their wish to prevent further loss and to improve the quality of people’s lives.

Sometimes, private services are the only timely option available for people that are struggling, and cost can be a barrier. Andrew’s Fund is a special initiative provided in partnership between the Andrew Miedema Foundation and Kelly Mental Health Foundation (KMHF). The fund is geared towards men, ages 18-45, to provide immediate crisis counselling assistance as well as short-term counselling sessions for those that cannot otherwise afford services.

​
Andrew’s Fund reduces barriers and stigma about mental health issues for men, and strives to make it normal and easy to get help. One shouldn’t have to wait until the point of no return before they finally reach out. It should be easy, people should feel supported throughout the process. This is what we strive to do with this initiative.

For more information about the Andrew Miedema Foundation:
https://www.andrewmiedemafoundation.org/about-us

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Andrew's Fund Application Forms


For your convenience, we have created online forms (below) that can be completed and submitted directly through our website. Additionally, you can download the pdf files below and email them to us at info@kmhfoundation.ca. 
Form A (Application)
File Size: 591 kb
File Type: pdf
Download File

Form B (Therapist Comments)
File Size: 155 kb
File Type: pdf
Download File

Andrew's Fund Counselling FundING Application Form A

    Available Funding

    This funding will cover up to $900.00 per client. Applicants are encouraged to use any other available sources of funding first.

    Eligible clients can apply for 6 sessions within a 6 month period performed by an enrolled provider on a fee-for-service basis.
    ​
    Fees for services are rendered directly to the registered provider and may only be used to pay for psychotherapy or counselling services. Claim forms cannot be processed without a registered claim approval number provided by KMHF.

    Provider Criteria

    Providers must be registered in good standing with a legislated professional regulatory body and eligible for independent practice in the province/territory in which the service is being provided. This may include the following types of providers:​
    • registered social workers with clinical counselling orientation;
    • registered psychotherapists
    New providers wishing to deliver services reimbursed by Andrew's Fund (KMH Foundation) must submit a Mental Health Counselling Provider Agreement form to info@kmhfoundation.ca. A complete list of documents required for enrolment is included in the Form. 

    Client Information

    Applicants must reside in Thunder Bay, or within 50 km of city limits.
    e.g. Cell, Work

    Symptoms

    Please check all that apply.

    History


    ​​*If you have attended counselling sessions in the past or are currently attending counselling, please have your therapist complete Form B (below) and submit with your application*

    Acknowledgements

    A note on confidentiality:

    Submitted applications are confidential, and you can expect that your personal information is protected per the Personal Health Information Protection Act (PHIPA, 2004). ​

    If you have answered the above questions to the best of your ability, please click submit. Please ensure that your contact information is correct, as a representative from KMH Foundation will be in touch with you as soon as possible.
Submit

Scope

Counselling
Education
Outreach

Initiatives

Counselling Programs
Workshops
Kelly Magazine

Support

Your Mental Health
​
Contact
​News

How to Help

General Donation
​Magazine Donation
Fundraising/Volunteer
Kelly Mental Health Foundation
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WEB DESIGN BY ​KMH
  • Home
  • Who We Are
    • Board of Directors
  • What We Do
    • Covid-19 Support >
      • Covid-19 Mental Health Videos
    • Outreach
    • Education >
      • Understanding Your Mental Health
      • Let's Grow TV Show
    • Counselling
  • Campaigns
    • Andrew's Fund
    • Light The Way
  • Contact Us
  • KMH Clinic