Name *

First Name

Last Name

Phone *

Country

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A Community Service Provider/Health Care Provider referring clients/patients who:

(Interim Federal Health Program (IFHP) provided.)

are connected to Child and Family Services system (Child, Biological parents, Caregivers/foster parents).

belong to 2SLGBTQ+ Communities.

are seeking culturally aware support in Arabic language.

are eligible for Interim Federal Health Program (IFHP).

not listed above, please read my message below.

A Community Service Provider/Health Care Provide seeking support with:

Critical Incident Stress Management.

Culturally aware and culturally specific psychoeducation.

Gender and Sexuality psychoeducation.

Not listed above, please read my message below.

Privacy and Security *

I understand that communications via email over the internet are not secure. Although unlikely, I understand that there is a possibility that an unintended party could intercept and read the contents of an email. I also give Just Healing Psychotherapy permission to leave a message at the phone number and email address provided.