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FORMS

VICTIMS OF CRIME

Psychotherapy for Trauma

 

♦ Domestic Violence

♦ Gang-Related Crime

♦ Physical and Sexual Abuse

♦ Robbery, Assault and Battery

♦ Victim of Family Homicide

♦ Physical Trauma from Drunk Driving

♦ Rape Sexual Awareness

♦ Victims of Sexual Exploitation (SCEC)

♦ Auto Accidents (Grief Counseling)

 

Languages Spoken:     English

                                       Spanish 

 

For referrals and/or assistance completing the

Victims of Crime application, fax the form to:

(661) 418-2651

 

For more information or questions, please call 

Dr. Neal's Office (661) 418-2918.

 

OUR SERVICES ALSO INCLUDE:

 

  • Application approval process.

  • DCFS Approved Services

  • Individual Counseling

  • Domestic Violence Support Group Counseling

  • Referral for medical and/or legal needs.

  • Assessment for threat of self-harm.

  • Referral to a psychiatrist if needed.

  • Treatment and/or referral for substance abuse

  • Addiction Education/Dual Diagnosed

  • Undocumented Victims are encouraged to apply

 

​Please Email or Fax Completed forms to:

Email: TheeAnswer@drnealpsyd.org

Fax:    (661) 418 - 2651

 

 *Cost of services paid through California Victims

  of Crime Funds if Approved (No Cost to Client)

Consent Form

Referral Form

Brochure Of Svcs.

Questionnaire

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