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Get Started with The Healing Center

Get Started with The Healing Center

Seeking support takes courage and we're grateful you are reaching out to us.

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 48 hours.

    Personal Information

    Today's Date*
    Pronouns* She/HerHe/HimThey/ThemOther
    Your age* Teen (13-17)18-3031-6465 and overI'm not seeking services for myself.
    Are you seeking services for someone else?* YesNo

    Contact Information

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    Information on The Loss

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    Time from Loss*

    Support Groups

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