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Please review The Dempsey Center privacy policy, describing the types of personal information that we may collect from you or that you may provide when you visit the website.Privacy Policy
Please review The Dempsey Center privacy policy, describing the types of personal information that we may collect from you or that you may provide when you visit the website.Notice of Privacy Practices
Please review The Dempsey Center privacy policy, describing the types of personal information that we may collect from you or that you may provide when you visit the website.Clayton’s House Guest Application for Independent Stay
Clayton’s House Application for Independent Stay For completion by Guest Submission of this completed Form is a pre-requisite to a Guest’s stay at Clayton’s House. Identification of Guest Identification of...Informed Consent – Support Services
...to the nature or extent of any particular result and as with any treatment, there are potential, inherent risks. For example, during counseling, you will have discussions about personal issues...Clayton’s House Guest Application
Clayton’s House Guest Application and Waiver Form For completion by Guest Submission of this completed Form is a pre-requisite to a Guest’s stay at Clayton’s House. Identification of Guest Name:(Required)...Informed Consent – Oncology Counseling
...clients are faced with during a cancer impact to support adjustment and coping across the continuum, from diagnosis through survivorship or bereavement, and to help enhance quality of life. Common...Youth and Family Services
Healing Tree Youth and Family Services at The Dempsey Center offers children, youth, and their families cancer support services and youth and family counseling.Expanding Awareness of and Access to Free Cancer Support Services in Rural Western Maine
Clayton’s House Provider Information + Referral Hub
...Clayton’s House Eligibility Criteria View Informational Sheet View or Download Transportation Services Information View Clayton’s House Rack Card View or Download Dempsey Center Brochure View or Download Clayton’s House Forms...Movement and Fitness Resources
...by yoga4cancer.com + Yoga Alliance Yoga for Anxiety Presented by yoga4cancer.com + Yoga Alliance Yoga for Range of Motion Presented by yoga4cancer.com + Yoga Alliance Yoga for Bone Health Presented...Space to Breathe Media Release 2024 – Adult
...S2B participants, specifically photos and videos captured of me during my participation in this year’s S2B program. By completing this form, I understand and acknowledge that this constitutes permission for...Informed Consent – Youth + Family
...have the right to know about the confidential communications we have with your child. Confidential communications may be shared with you at your request, unless a licensed clinician determines, based...Client Registration Form – Maine (with On-Demand
...theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall...Clayton’s House Care Partner Application
Clayton’s House Care Partner Application and Waiver Form For completion by Care Partner Submission of this completed Form is a pre-requisite to a Guest’s and Care Partner’s stay at Clayton’s...Space to Breathe Parent Waiver
...GUARANTEE BEING MADE TO ME AND I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY RELEASEES TO THE GREATEST EXTENT ALLOWED BY LAW, AND TO...
