— Request Services
Let Us Help You
If this is a Crisis please visit our Crisis Resource Page and contact one of the crisis lines listed there. This form is not monitored 24/7 and S.A.F.E. is not a crisis service.
01
Request Services
Follow the instructions to self refer for services. Simply fill out a brief questionnaire exploring eligibility for services and providing basic contact information.
02
Complete Intake Documents
With-in 24 business hours you will receive a link through Sign Now to complete intake documents in the email provided on the request form.
03
Complete Intake Assessment
Once intake documents are received you will be contacted via email to schedule a 15-minute intake appointment via Zoom. This is to discuss goals, presenting concerns and answer any questions you may have about SAFE's services.
Select either Individual/Youth or Couples Counseling for services.
At this time all of our services are via Telehealth.
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Please go to our
Resources page for a list of local services, as we are unable to accommodate evenings and/or weekend
Request Couples Counseling
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Request Individual/Youth Counseling
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We will get back to you as soon as possible.
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— Collaboration Info