CoVid Mental Health Responders
Confidential Contact Information
for office use only
Join our Mailing List
Add my email to the Crossings Mailing List
How would you like Clients to Contact You?
What state are you licensed in?
District of Columbia
Licensed As (Scope of Practice Require licensure in one of these professions):
Marriage and Family Therapist
What is your Trauma Training Background
The Term of this Program will end July 1, 2020
I understand that Crossings is acting solely as a facilitator of connection between providers and potential clients. Any clients taken through this volunteer program are my clients, and I accept professional responsibility and liability for their care
I understand that I can withdraw at any time
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