Please note, our offices will be closed from 12/24 to 1/2.
For immediate 24/7 support, call Crisis Connections at
866-427-4747
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items |
$
0.00
No products in the cart.
About Us
Our History
Our Impact
Our Team
Our Partners & Supporters
News
Reports & Financials
Contact Us
Grief Support
Get Started
Grief Support Groups
Grief Support Group Calendar
Grief Support Resources
Grief Support FAQs
Get Involved
Become a Volunteer
Gift a Donation
Ways to Give FAQs
Attend an Event
Donate Now
Get Started at The Healing Center
If you are looking to join a group, please fill out the form below to share more about yourself and the support you are seeking. We will respond to your request as soon as possible, typically within 2 business days.
Personal Information
Today's Date*
Pronouns*
She/Her
He/Him
They/Them
Other
Your age*
Teen (13-17)
18-30
31-64
65 and over
I'm not seeking services for myself.
Are you seeking services for someone else?*
Yes
No
Age of person seeking services*
Child (4-12)
Teen (13-17)
18-30
31-64
65 and over
Pronouns of person seeking services*
She/Her
He/Him
They/Them
Other
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Contact Information
Preferred Contact Method*
Phone
Email
Either (no preference)
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Information on The Loss
Person/People Loss*
Child
Co-worker
Friend
Other Family Member
Parent
Sibling
Spouse/Partner
Other
Manner of Loss*
Accidental Death
Cancer
COVID-19
Prolonged Illness
Sudden/Traumatic Death
Suicide
Violent Death
Time from Loss*
0 - 3 months
3 - 6 months
6 - 12 months
12 - 18 months
18 - 24 months
2 - 3 years
3 - 4 years
5+ years
7+ years
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Support Groups
Which groups are you interested in?*
Partner Loss Group
Parental Loss Group
Young Adult Group
Children/Teen Group
Hues LGBTQ+ Group
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More Information
How did you hear about us?*
Agency
Board Member Referral Agency
Client Referral Agency
Doctor's Office / Hospital Agency
Friend / Family Agency
Therapist Agency
Web Search Agency
Do you have any accessibility needs you'd like us to know about, including barriers to virtual participation?
Is there anything else you’d like us to know?
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