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Loving Arms Awards Dinner - October 29, 2024 - Click here for tickets!

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Article 29i Referral Form

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Please be sure to confirm any urgent medication/injection needs.
Services requested:
Are you currently receiving treatment services anywhere else?
Are you mandated to receive counseling/psychiatric services?
Are you in a dangerous situation or at risk of harm?
Describe any significant event that may have affected your current functioning (e.g. family deaths, abuse, trauma)
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