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Please note that we are unable to work with clients who have a
current or past domestic violence restraining order, issues of child abuse, neglect, or substance abuse.
Such circumstances are best addressed by specially trained experts in your local area.

For immediate help about abuse or violence
Call 1-800-799-SAFE (7233),
your nearest hospital emergency room or 911

Privacy and Confidentiality. We do not sell, rent, trade or give out any personal information to anyone including information collected on this form. Your personal information remains strictly confidential and is appropriately secured off line.

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