Patient Application

At TENNACITY we are seeking trauma survivors whose lives have been significantly affected by serious trauma and who are motivated to overcome challenges, expectations, and diagnoses to return to living a fulfilling lifestyle. Our ideal patient is one is motivated and who is willing to fight to regain their independence and health.

Our team at TENNACITY takes the application process very seriously and seeks as much information as possible in order to make determinations on whether applicants are qualified for our program. Please provide as much detailed information as possible on this application as it will help our team make the best determination possible.

Please note that TENNACITY provides payment to your care provider directly. No funds will ever be given directly to you during the TENNACITY program.

If you have any questions while filling out this form, please email or call 615-332-2513.

Counties TENNACITY Currently Serves:

  • Williamson
  • Davidson
  • Maury
  • Bedford
  • Rutherford
  • Sumner
  • Montgomery

The Application Process:

Step One: Complete this application and fill out all applicable fields with as much information as possible.

Step Two: TENNACITY’s Advisory Board of healthcare professionals will review your application and determine whether you meet our basic criteria. Applications are reviewed monthly, starting on the 15th of the month.

Step Three: TENNACITY’s Advisory Board will make a recommendation on what type of treatment is most appropriate for you, and what facility best meets your needs

Step Four: If you are selected as a top candidate by our Advisory Board, a one-on-one phone or in-person interview will be conducted with you and one of our team members

Step Five: You will receive notification of acceptance or rejection from TENNACITY, the treatment recommended, and the sponsorship level TENNACITY can provide via email. Please provide the best email address to reach you at on your application.

Step Six: Begin your journey to an active and fulfilling life!