- 4 maxi pads- 3 regular pads- 4 liners- 1 heating pad- 1 bottle of water- 3 Emergen-C packets- 1 small journal- 1 pen or pencil- 1 pocket tissue pack- 1 Support Kit Manual (with tips, guidelines for using each item, and resources)
Please fill out this form as honestly as possible. SPIRAL has limited resources, but we will do our best to accommodate each and every one of our clients.
*A note on confidentiality: The SPIRAL Collective takes client confidentiality very seriously. Your personal information, including any information revealed through any response that you submit through this form, will not be accessible to any person or entity outside of the SPIRAL Collective. We will keep your information private and secure.
**Please fill out this form using the CLIENT's information only. We cannot provide these services through any third party.
Thank you - you're almost done!