Counseling Request Form
Did you know Hang Tough Foundation offers FREE counseling sessions to our Hero Families, heroes and their siblings? We understand there are many hurdles and challenges to overcome for the entire family when a child has an illness or special need.

When you submit this request form, we will notify our group of counselors and be on contact with you about next steps within 48 hours.

Email address *
Parent First Name: *
Your answer
Parent Last Name: *
Your answer
Email Address: *
Your answer
Phone Number *
Your answer
Family member's name and age needing assistance:
Your answer
In what subject area does your family member need assistance? (check all that apply) *
Do you or your child speak a language other than English?
Your answer
Thank You!
A Hang Tough Representative will be in contact with you in the next 48 hours with next steps. If you have any questions, please feel free to email us at
A copy of your responses will be emailed to the address you provided.
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