Services

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Services

Thank you for taking an interest in the Trauma-Informed Services. Please take a moment and fill out this form. You have the option to pay for the service in full or make payments before our appointment.

*Sliding scale for those that qualify.

*Please Note: Before services can begin. A consultation is required if it's your first time working with us. The consultation is 1 hour, the fee must be paid before the initial appointment.

***If working with a minor child, parent or caregiver agrees to learn and enter our parenting education program to give the parent the needed awareness, skills, and tools to help their children properly heal from trauma. ***

Email *

Name *

Phone number *

Reason for seeking support and services. *

What type of service are you looking for?

Consultation (this fee may be reduced if you are referred or are in a hardship )

Book Bulk Orders & Partner With Me

DV Advocacy

Domestic Violence Program- 16 Classes (A price list will be sent)

Group Facilitation varies on the topic of choice- (A price list will be sent)

Healing Art (10 classes)

Leadership Trainings (A price list will be sent)

Non-Violent Trauma Informed Parenting Course

Trauma Informed Education/Counseling 16 weeks(A price list will be sent)

The Survivor's Guide Course

Other:

Clear selection

Circle of Care Referral Program If you were referred by someone please let us know by who?

Welcome Wellness Discount: For this discount to be applied an initial consultation must be made.

New Client with Nurturing Lives

Trauma Education

Healing Art

Parenting Education

DV Services

Other:

Best Day to meet

Mon

Tue- (Available after 2)

Wed (Available after 2)

Thur (Available after 2)

Morning 11-1pm

Afternoons 2-4

Evening 5-7

Clear selection

If the above times don't work, we can work around your schedule

Please let us know, how you would like to meet? *Our locations are in the San Fernando, CA area. *

In person Services

Virtual Services (on Zoom)

Required

Seeking services for Children

This is for individual healing art classes.

If seeking services for a minor are you willing to take our parenting class series to understand the behavior of the child that has experienced trauma.

Yes

Not at this time

Clear selection

How will you be paying for services? (Zelle or Paypal)

If you aren't able to pay in full, but are able to make payment installments. How much can you make each month? (Payments need to be made each time before we meet.

Did you submit proof?

***please note: this is only for survivors that are unable to pay due to living in a shelter, being homeless or not having enough funds to pay for services.*** I am requesting a scholarship because: (let us know the hardship and paperwork documentation must be submitted)

Send me a copy of my responses.

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