Grief Support Forms
New Clients [Self-referral or Professional referral]:
Both Forms can be completed online and then saved to your desktop as a pdf. They cannot be completed by using a phone. Then either email as a pdf or print/fax to Deb before your appointment.
Grief Intake Form & Release : Please complete on a computer, save as a pdf, then email Deb or print & fax or bring to your appointment, or if you don't have access to a printer, complete my hard copy form when you come for your face-to-face appointment.
Your responses on the Grief Intake Form will give me a better understanding of the various factors that may be impacting your grief process.
If you choose to mail the forms please Mail to PO Box 54, Okemos, MI 48805.
Professionals - If you would like to refer a client:
3899 Okemos Rd A1
Okemos, MI 48864
MAIL to: PO Box 54
Okemos, MI 48805
Schedule an Appointment...
If you would like to share your grief story and concerns within a safe and compassionate atmosphere, please call or email.
If you call, please leave a message and a time for me to call you back. I get many spam calls so I send calls directly to voicemail.
*** If you would like an appt, please complete my Intake and Release Forms.