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Please- allow up to 1-2 business days for me to return your request. I will respond as quickly as I am able.
If you are in crisis or need immediate help for any reason, please pause filling out this form and call 911.
IF YOU FEEL THAT YOU ARE A DANGER TO YOURSELF, PLEASE PAUSE FILLING OUT THIS FORM AND CONTACT THE NATIONAL SUICIDE PREVENTION LIFELINE AT 1-800-273-8255 OR 911.
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