Request a S.H.A.D.E. Case Consultation
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.
Email address *
How would you classify this situation? *
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.
Your answer
Title of Contact Person *
Your answer
Contact's Email *
Your answer
Contact's Phone Number *
Your answer
Organization Contact is Affiliated with *
Your answer
Your Name & Title *
Name & Title of person completing this form. If you are contact feel free to put SELF.
Your answer
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