NAMI SGV Family to Family Class
Registration for our FREE 12-session Family to Family educational program.
Email *
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Last Name *
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First Name *
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Address *
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City *
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State *
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Zip *
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Phone Number *
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Preferred Language
Please share something about your loved one who is living with a mental health illness. This information will be used to help to determine if this program meets your needs.
Name of loved one with illness *
Your answer
Relationship to you *
Your answer
Age
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Gender
Age of illness onset *
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Diagnosis, if diagnosed *
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Medications used *
Your answer
Living arrangements *
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Other information
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