Request for Proposal or Licence Application

Thank you for your interest in the TPS Recovery Program.

This form can be used to either request a customized proposal or apply for a full licence agreement to deliver TPS within your organization.

Once submitted, our team will review your details and prepare a tailored proposal outlining the most suitable licensing model, pricing, and onboarding process, typically within 2-3 business days.

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Thank you for your response. ✨

Thank you for your submission. You will receive a response within 2–3 business days.

Organisation Name

Type of Organisation

Website

Email Address

Primary Contact Name

Position/Role

What brings you here today? (select the option that best describes your current stage.)

Approx. number of RTA clients supported monthly. This information helps us tailor your proposal/licensing package

Licence term requested

Select the reason your organization is exploring TPS (check all that apply)(required)

To enhance long-term trauma recovery outcomes To integrate a structured post-discharge pathway To improve patient engagement and compliance To expand our rehabilitation service offering To support staff with a ready-made recovery framework Other (please specify) ………………………………………………………………………………………………………

How did you hear about TPS?

Would you like a call to discuss further

Preferred implementation start date

How soon do you need a response?

Preferred way to hear from us

Do you wish to add any additional information?

Phone number

I confirm the information provided is accurate and consent to be contacted by the TPS team regarding this request.

We value your privacy. Your details will be used solely to prepare and deliver your customized proposal or licensing agreement.

Your request has been received. Thank you for your interest in the TPS Recovery Program. You will receive a response within 2–3 business days.