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Client & Volunteer Portal

Intake Packet

Full Client Intake Packet

Release of Information

Client Release of Information

Mid Session Survey

Mid Session Survey

HELPline Log

HELPline Log

Therapy Consent

Therapy Informed Consent Form

Income Verification

Income Verification Form

Final Survey

Final Survey

Request of Client Documents

Request to Access Protected Health Information

CONTACT US

   Office: 239-649-1404

   Fax: 239-649-5520

   Email: Projecthelp@projecthelpnaples.org

HELPline: 239-262-7227

Toll Free: 800-329-7227

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Project HELP complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

Project HELP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

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