NYC 9/11 Benefit Program for
Mental Health & Substance Use Services
Outreach
Materials Order Form
The NYC 9/11 Benefit Program for Mental Health and
Substance Use Services, provides financial assistance for mental
health treatment for people affected by the events of 9/11.
If you’d like to order a supply of wallet cards and
fact sheets, schedule a presentation, or learn about how to connect
to our program, please contact us and let us know the following:
Number of free materials that you would like:
______ Wallet Cards English
______ Fact Sheet English
______ Wallet Cards Spanish ______
Fact Sheet Spanish
______ Wallet Cards Chinese ______
Fact Sheet Chinese
______ Wallet Cards Polish
______ Fact Sheet Polish
Would you like to set-up a meeting or a presentation
with an NYC 9/11 staff member? JYes
JNo
Would you like to list us a resource, add a link to
our page, or place our web banner? JYes
JNo
Your contact/shipping information:
___________________________________________
___________________________________________
___________________________________________
Please mail, fax, email or call-in this information
to:
Mental Health
Association of New York City, Inc. Attn: Michelle Angulo
50 Broadway, 19th
Floor
New York, NY
10004
Phone:
212-614-5750
Fax:
646-654-0593, Attn: Michelle Angulo
Email: mangulo@mhaofnyc.org
For Program
Information, Please Call 311 and ask about the NYC 9/11 Benefit or
visit:
www.nyc.gov/9-11mentalhealth |
