Healthy Congregations Intake
Thank you for choosing health and reaching out.  Please fill out this intake form and a member of our team will be in touch with you within 24 hours.  If this is an emergency, please contact your primary contact. For a listing go here: https://www.uua.org/pacific-western/staff/primary-contacts 
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Your name: *
Email or phone number, however way you prefer to be contacted: *
Congregation or Covenanting Community: *
City, State: *
Leadership role in your congregation: *
Does your UU community have any of the following?  Please check all that apply: *
Required
Would you like help with any of the following? Please check all that apply: *
Required
Please elaborate on anything you wish the Healthy Congregations Team to know before we reach back to you.
Someone will be in touch with you as soon as they can. Until then, we recommend these suggestions and resources: https://www.uua.org/safe/conflict 
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