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Your first hour is free. This short form helps us prepare so we can make the most of it. It takes about 5 minutes.

Please Note: We are licensed in Sonoma County ONLY. If you reside elsewhere, we’re happy to offer a referral.

If you are in immediate danger, call 911. National Domestic Violence Hotline: 1-800-799-7233 (or text START to 88788)

Already started? Finish with your code

About you

So we know who to call and how to reach you safely.

How would you like us to reach you first?
Which of these are safe for us to use? (check all that apply)

Your safety comes first. We will only contact you in the ways you check here.

For example, a trusted friend’s phone number or a different email address.

If someone else can see your email, you may prefer to finish today and leave this unchecked. Your safety answers are never saved.