Pastoral and Financial Assistance Intake Form For Flood Impacted Families and Individuals
Please fill out this form if you or a family member are in need of pastoral/emotional and or financial assistance.
Would you like R. Gelman to call you?
Would you like to speak with a licensed mental health professional?
If it is available, would financial assistance be helpful?
Who in your household needs assistance?
Child(ren) - please list
Please provide as many details as you feel would be helpful
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