FOOTPRINTS IN THE SAND
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IS YOUR CHILD UNDER THE AGE OF 18?
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Yes
No
Does your child live, worship or work in Bergen County, NJ or Rockland County, NY?
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Yes
No
My child is:
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Consumed or overwhelmed dealing with their diagnosis or the diagnosis of their loved one
Struggling with facing treatments and side effects both physically and emotionally
OptionCoping with grief from a recent death 3
Feeling depressed
Dealing with a mental ailment
Dealing with a developmental ailment
Struggling with a recent divorce
Dealing with substance abuse or alcoholism
Choose all that apply.
Is there anything else you would like us to know?
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Name
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Last
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Phone Number
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Counseling is offered to those who do not have insurance or if your insurance does not fully cover your therapy. We will also help to cover co-pays where applicable. If you do not have a counselor you are currently working with, we will refer you to one of our recommended, licensed counselors who specialize in youth services and are not employees of the Foundation. All information you provide will be kept confidential and is used to administer the foundation's grants and help meet the needs of our grantees.
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Home
Research Meditation for Mental Health
Crisis Assistance
Donate
Contact