Epizelus
WE'RE HERE TO HELP!

REQUEST SUPPORT

Epizelus is here to guide you through your healing journey.
If you are seeking funding for PTSD treatment please use the provided form. You will be asked for additional information including proof of service after we receive your request. Please be aware that processing requests my take several weeks. We ask that you provide the name of your preferred provider or clinic. Kindly note that Epizleus does not provide clinic or doctor referrals. 
Name Today's date E-mail Branch of Service Date of PTSD diagnoses
Funding requested for (please choose one)
Stellate Ganglion Block
Ketamine
Psychotherapy (talk therapy)
TBI treatment
Provider's name and contact Submit