For Those Seeking Support

Name *

First Name

Last Name

I am requesting *

Individual Sessions

Group Sessions

Child Sessions (under 13)

Child/Teen Sessions (13-17)

Family Sessions

How many sessions do you feel that you would like to attend? *

Number of consecutive sessions that you feel that you would attend. We will try to connect you with a therapist that has confirmed that they will be giving this amount of sessions at the price that you are needing.

6 Sessions

8 Sessions

10 Sessions

1 Group

4 Groups

6 Groups

8 Groups

I am able to pay: *

$0

up to $40

$40-65

Groups: $0

Groups: up to $35

I lost my home or business in the fires.

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Emotionally Impacted

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