USAPHO Assistance Request Form

NPO: 121-474
Durbanville office address: 08 New Street, Office 2B, Remac Building, Durbanville, 7550
Fisantekraal office address: 59 Ebony Street, Greenville, Fisantekraal, Durbanville, 7550
Office number: +27 21 820 5444
Email: info@usapho.org.za

With the current worldwide pandemic of Covid-19 ravaging the population, USAPHO Foundation feels the weight of the lasting effects and change that adapting to this “new” way of life has forced upon society. We believe that families are still the cornerstone of our country, and that strengthening families during these difficult times, will create resilient communities, and ultimately a stronger nation. However, we are also aware of the pressures, (both internal and external), that are crippling and threatening the existence of this unit. It is with all of the above in mind, that USAPHO Foundation would like to offer our services to provide hope, relief and equip individuals with the necessary tools to not only survive, but thrive during this season.

PERSONAL DETAILS

Title

Name & Surname

Telephone (H)

Telephone (C)

Email Address

What is your preferred method of communication with USAPHO during this lockdown period?

WhatsApp (Message)

Telephone Call (H)

Telephone Call (C)

Clear selection

ASSISTANCE REQUEST FORM

USAPHO is operational during 08.30 and 16.30, Monday through to Friday

An USAPHO member will reach out to you within 24 hours

How can USAPHO be of assistance

Are you a parent struggling to balance working from home while adequately meeting your child/children’s needs?

Are you having difficulty/concerns being in isolation, while your partner is working as a part of essential services?

Are you experiencing feelings of frustration, anxiety, fear or anger because of your current situation?

Are you faced with marital issues or financial strain due to your current circumstances?

In addition to the above services, USAPHO Foundation also provides the below comprehensive, relevant programs in line with our belief that everyone deserves the right to belong to a great family. If interested, please indicate your choice below and a member of staff will contact you with more information.

Positive Parenting Coaching

Positive Teenage Parenting Coaching

Fatherhood Coaching

Amandla Project (Alternative to Violence Approach)

Psychosocial Support (Individual and Marriage Counselling)

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