Grief Support Application | The Indigo Phoenix®

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Grief Support Application

Name*

Last name*

Email*

Please briefly describe what type of loss you are grieving:*

What methods of healing have you tried so far, and what were the results?*

How long have you been grieving?*

Are you committed to investing time and energy consistently into your grief support?*

Are you in immediate crisis (yes or no). IF yes, go to www.211.org or dial 211 now:*

YES

NO

The Indigo Phoenix®

Supporting wellness, healing, compassion and empathy invigoration in caregivers.

Empowerment & Healing

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info@indigophoenix.com

813-535-4040

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