Request a S.H.A.D.E. Case Consultation

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Many of S.H.A.D.E.'s Survivor Advocate-Leaders are specialists in their fields: management, social workers, businesses, artists, and more. Many of them have developed programs also founding and running their own non-profits. S.H.A.D.E. consultation does involve fees. Overcomers' time, expertise, and travel are well worth these fees.

Case Consultation is sliding scale fee and on rare occasions can be done pro bono.

DO NOT PUT IDENTIFYING INFORMATION (Name, DOB, address, etc.)
ABOUT THE POTENTIAL SURVIVOR ON THIS FORM.

How would you classify this situation? *

Immediate Danger- Please immediately call 1-888-3737-888 or 911 or SHADE Advocate 510-437-0192

Crisis- Needs critical services in next 2-4 days

Urgent- Currently safe but needs critical services in next 5-10 days

Supportive- Needs supportive services, all critical services are currently being taken care of

Unsure

Other:

Information for your Contact Person

Please note who you would like to be emailed or called to follow-up with this request.

Name of Contact Person *

NOT THE POTENTIAL SURVIVOR, this may be the case manager, program manager, etc.

Title of Contact Person *

Contact's Email *

Contact's Phone Number *

Organization Contact is Affiliated with *

Your Name & Title *

Name & Title of person completing this form. If you are contact feel free to put SELF.

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