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(only used in the event of threat to safety)
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Please indicate, as this impacts which counsellor you will be assigned to.
Please note that if you make less than $84K per year, you will qualify for a subsidy and fees are assessed on your gross annual income. We will require you to show proof of income at your first appointment, either by paystub or tax return
If you have any special requirements, please specify:
(check all you think might apply) PLEASE NOTE: If your concern is legal in nature, Shalom does not provide assessments or expert witness testimony for court purposes.