---
title: Perinatal Mental Health Screening Program Funding Application Form Template | Paperform
description: Professional funding application template for perinatal mental health screening programs with screening tool selection, provider training, referral networks, and outcome tracking. Free to customize.
url: "https://paperform.co/templates/perinatal-mental-health-screening-program-funding-application"
type: static
generatedAt: "2026-03-28T00:44:45.376Z"
---

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### Funding Application for Perinatal Mental Health Screening Programs

Perinatal mental health conditions affect up to 1 in 5 women during pregnancy and the postpartum period, yet many cases go undetected due to lack of systematic screening and support. This **Perinatal Mental Health Screening Program Funding Application** template helps healthcare organizations, community health centers, maternal health clinics, and nonprofit organizations apply for grants to establish or expand evidence-based screening programs.

#### Why Use This Template?

With Paperform, you can create a professional, comprehensive funding application that demonstrates your organization's readiness to implement an effective perinatal mental health screening program. The form captures all essential components that funders look for: validated screening tools, qualified provider training plans, established referral networks, clear follow-up protocols, and measurable maternal health outcomes.

The template is designed for maternal health programs, obstetric practices, midwifery centers, community health organizations, and public health departments seeking funding from government agencies, foundations, or healthcare systems to address this critical gap in maternal care.

#### Key Features for Healthcare Funding Applications

This form template includes conditional logic to tailor questions based on your organization type, current screening capacity, and target population. It guides applicants through selecting appropriate validated screening tools (such as EPDS, PHQ-9, or GAD-7), detailing provider training requirements, mapping referral pathways to mental health specialists, and establishing evidence-based follow-up protocols.

Once submitted, you can use **Stepper** (stepper.io) to automate your application workflow—routing submissions to review committees, sending acknowledgment emails to applicants, tracking application status, and coordinating follow-up requests for additional documentation. Integration with your grant management system, Google Sheets, or Airtable keeps all application data organized and accessible.

For programs requiring signed agreements or memoranda of understanding with referral partners, **Papersign** (papersign.com) enables you to collect secure eSignatures directly from your form submissions, maintaining a complete audit trail of partnership commitments.

#### Trusted by Healthcare Organizations

Paperform is trusted by over 500,000 teams worldwide and is SOC2 Type II and GDPR compliant, ensuring your sensitive program and organizational information remains secure throughout the application process. Build better maternal health programs with a funding application form that demonstrates your commitment to evidence-based, comprehensive perinatal mental health care.
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