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Request form for VCRN services

After a distressing event, it is normal to experience:

  • painful emotions

  • disturbance in sleep, appetite, or mood

  • an increase in stress and anxiety

  • numbness

  • somatic complaints

  • or sadness that makes it difficult to cope

VCRN is offering free sessions those who may be experiencing stress as a result of this recent event.

VCRN uses protocols that do not require you talk or share your experiences extensively, but can provide relief and reduce the distress of the most upsetting parts of this experience for you.

You will be offered up to five sessions, virtually or in-person, depending on your preference. This service is provided free of charge.

To participate, we ask that you complete our participant information and consent form below. Once you have submitted this form, you will receive a link to the Impact of Event Scale to complete. Thank you!

I give consent for VCRN to:
How would you prefer to be seen?

VCRN is currently offering services for
those impacted by recent events. 


To participant in VCRN's free services, please complete the form below:

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