PAIP Assessment Request
Please share your contact information to schedule an intake for the Partner Abuse Intervention Program with Safe Passage. A staff member will be in touch within 2 business days to schedule your assessment. If you have questions, please call us at 815-756-5054.
Street Address (Ex. 123 Safe Street)
City, State, Zip Code (Ex. DeKalb, IL, 60115)
Telephone Number (Ex. 815-756-1111)
Date of Birth
Are you court-ordered to attend a Partner Abuse Intervention Program?
I'm not sure
If you are court-ordered to attend a Partner Abuse Intervention Program, what is your case number? (Ex. 19CM1024)
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