How to Apply
WE ARE HERE FOR YOU
Teejuh’s Behavioral Program & Counseling Services, has explored a vision, which is to offer domestic violence services, throughout the State of Alaska and “Upper Tanana Region".
Application Process
By establishing this website, “Teejuh’s” goal is to display to the caller a safe, and confidential way to request help.
If the caller would like to request “Counseling Services,” Teejuh has eligibility requirements to meet, through a “Grant,” aligned to 40002(b)(2) of the Violence Against Women’s Act, as amended (42 U.S.C. 1395(b)(2)).
To help guide the caller, he/she can read the following documents Patient Admission & Eligibility and the Policy & Procedure: Program Eligibility, which will detail to them, our eligibility protocols for services.
In addition to eligibility requirements, the caller will need to complete the Registration Application which will be needed for our medical provider of record.
Once the form is completed, it will automatically be submitted to “Teejuh’s” program director for processing and/or following-up.
If you choose to print the form, please print, complete and bring it with you to your appointment.
Patient Admission & Eligibility
Policy & Procedure: Program Eligibility
Online Registration Application
Print Registration Application
Telemedicine Consent Form
- It’s not where you are in life; it’s who you have by yourside that matters ~ unknown