Nefesh: International Resource Directory

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International Resource Directory: Submit Agency

Agency Information:

Name*:

Address*:

City*:		State/Prov.:		Zip:

Country*:

Phone*:		Fax:

Email*:

Web Site Address:

http://

Languages:

Fees:

Services Provided:

	Adoption Evaluations
	Advocacy Services
	Alzheimer's and Dementia Services
	Assistance in Obtaining Gov. Benefits
	Bereavement Services
	Camps
	Career Counseling
	Case Management
	Child Abuse Treatment and Prevention
	Community Education
	Community Services for Elderly
	Crisis Intervention
	Custody Evaluations
	Day Programs
	Domestic Violence Prevention
	Domestic Violence Shelters
	Domestic Violence Victims' Recovery
	Early Intervention
	Family Therapy
	Financial Relief
	Food Packages
	Food Programs
	Foster Care
	Genetic Counseling
	Group Therapy
	Holocaust Survival Aid
	Homecare
	Homeless Services
	Hospice
	Hospital Visits
	Hotline
	Individual Therapy
	Inpatient Addiction Services
	Learning Disability Evaluations

	Legal Aid
	Marital Therapy
	Medical Services
	Medication
	Occupational Therapy
	Outpatient Addiction Services
	Outpatient Eating Disorders
	Outpatient Mental Health
	Parent Education
	Psychiatric Evaluations
	Psychological Evaluations
	Referrals
	Residential Services
	Residential Services for Elderly
	Respite Care
	School-based Programs
	Services for New Immigrants
	Sexual Abuse Recovery
	Sexual Offenders' Treatment
	Sexual Orientation Services
	Social Supports
	Special Education Services
	Speech and Language Evaluations
	Speech Therapy
	Support Groups
	Support Services for Cancer Victims
	Support Services for Terminally Ill
	Trauma Recovery
	Traumatic Brain Injury
	Treatment Groups
	Vocational Rehabilitation
	Youth at Risk
	OTHER

Population Served:

	Bereaved
	Elderly
	Families
	Immigrants
	Orthodox
	Persons with Attention Deficit Disorder
	Persons with Developmental Disabilities
	Persons with Gender Identity Conflicts
	Persons with Learning Disabilities

	Persons with Life-Threatening Illnesses
	Persons with Physical Disabilities
	Persons with Psychiatric Disabilities
	Persons with Special Needs
	Pre-school Children
	School-Aged Children
	Victims of Abuse
	Youth at Risk
	OTHER

Comments

Comments: (If you specified other in any of the previous fields, please elaborate here)

Contact Person: (For office use only)

First Name:

Last Name:

Position:

Email:

Phone:

Fax:

Alternate Contact

First Name:		Last Name: