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The Family Bereavement Center provides individual counseling for grief-stricken individuals impacted by homicide in Baltimore City. The referral serves as a tool to assess the individualized needs of the client. At times, the client may need a high level of care or may have access to appropriate resources. Please note that the client's request for an intake does authorize the obtaining of the below information in its entirety, which is required for acceptance. Upon receipt of a completed intake and 24-hour report, a therapist will be assigned within one to two weeks.

Client Information
Parent or Guardian Information (if applicable)
Is the client a child? (Under 18 years old)
Availability
Victim Information
Symptoms
You can share as much or as little as you're comfortable with.
Prior Treatment
Do you currently see a therapist or psychiatrist?
Have you ever engaged in Mental Health Treatment?
Have you had previous Family Bereavement Center involvement?
Do you have children in the home?
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