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We know how difficult it can be to answer questions and fill out a form when you are grieving. We regret that we must ask you to take this step before accessing our support groups. Unfortunately, we learned the hard way that it is a necessary step in order to maintain the safety of the group and the emotional well-being of participants. We recognize that every person has unique needs and limitations. If you find this step difficult, we suggest having a friend or loved one help you to complete the form or email us and we are happy to set a call or Zoom meeting and accomplish this step together. All information provided is confidential.

Grief Relationship
Sibling
Child
Grandchild
Niece/Nephew
Friend/Other
Are you currently working with a licensed therapist or counselor? (This is not required to join a group.)
Yes
No
Are you currently experiencing any of the following?
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