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Light Up a Life
Donate
Light Up a Life

A message to our community

Our hearts are with everyone affected by the tragedy at Silver Rail Elementary School. Many in the Partners In Care family have been personally impacted, and we grieve alongside our community today. We extend our deepest condolences to the children, families, educators, and all who are mourning. May we come together with compassion, kindness, and support in the days ahead. We stand ready to support our community during this tragic time.

Important Safety Notice: This form is not monitored 24/7.
If you are in crisis or having thoughts of suicide, please get help immediately. Call or text 988 to reach the Suicide & Crisis Lifeline. It is free, confidential, and available 24/7.
If you are experiencing a life threatening emergency, please dial 911 (or your local emergency number) immediately or go to the nearest emergency room. Do not wait for a response through this form.

Purpose: This form helps our bereavement team understand your current grief needs and identify local resources, support groups, or counseling options that may be helpful to you during your grief journey. Completing this form is an inquiry for information and does not establish a form clinical or client relationship.

DISCLAIMERS:
Education and Support focus: The groups and workshops we offer are meant to help individuals navigate normal grief processing. They do not substitute for formal medical, psychological, or psychiatric healthcare advice, diagnosis, or clinical treatment.
If our team determines that your needs exceed the scope of our open community programs, we will do our best to provide you with a referral to independent, licensed mental health professional or outside community agencies. We do not control or guarantee the availability or cost of those outside services.
Privacy & Voluntary Participation: Sharing your information on this form is completely voluntary. The information you provide will be kept confidential within our administrative team and used solely to match you with appropriate resources.

Community Bereavement Screening Form

Type of Loss / Grief Event What best describes the loss or event that is contributing to your grief? (Check all that apply)

Did the loss/event occur within our local community?

Relationship to the person or event

Current Needs Checklist I am looking for:

MANDATORY AGREEMENT CHECKBOX: I understand that submitting this form does not guarantee services and this is not an emergency hotline or emergency service.

Sponsor Comfort Care

Your Gift Makes a Difference

When a loved one is admitted to Hospice House, even small acts of kindness can make a meaningful difference. Your gift can help ease the burden for families staying at Hospice House by providing meals, snacks, and transportation support during a difficult time. Through these simple yet impactful donations, you can offer comfort, nourishment, and peace of mind to families so they can focus on what matters most: spending precious time together. Thank you for helping us extend compassion and care to those who need it most.

Partners In Care is a 501(c)3 nonprofit organization, tax-ID #93-0756143. Contributions are tax-deductible to the extent allowed by the Internal Revenue Service. Tax receipts are provided for all gifts.