*IHSF Speaks Counseling Interest Form
Below you will see an interest form for IHSF Speaks, an initiative of In Her Shoes Foundation (IHSF) + Counseling Speaks. This is a form for if you are interested in receiving therapy. If you are interested in becoming a mental health provider for IHSF Speaks, please use this form: https://forms.gle/uhzDA4q763pcvJT67 

Please complete the form below and we'll let you know when we are accepting signups. 

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*IHSF Speaks would like to connect women and girls with mental health professionals and provide the funds for these clients to receive therapy for low costs or free. 
Name *
Below we ask for contact information. Please fill out whatever you are comfortable with and have access to.
Phone number. If this is not your phone number, please also include whose phone number it is! Feel free to list multiple.
Email. If this is not your email, please also include whose email it is! Feel free to list multiple.
Are you 18 or older? If you are under 18, we may also need to work with a guardian. 
Why are you seeking therapy and what do you hope to gain? "I'm not sure" is an answer that is okay too! You can also choose to leave this question blank. 
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