Family Intervention and Crisis Prevention

Family Intervention and Crisis Prevention

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If you are exploring your options and have questions about Family Intervention Services, the following questionnaire will help you clarify your concerns and give me an idea just how to formulate you an intervention plan.

Your contact info is required so that I can respond to your call for help!
(Use an alias [fake name] if you wish to hide your identity)

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  • Who are you concerned about?

    Contact Info
  • All questions below are optional! Just provide as much information as you wish. You may leave any of the below questions blank. Remember, you may wish to reserve for later your most guarded secrets. You can assure your utmost confidentiality by saving some information for our personal-private counseling sessions!