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The Dempsey Center will be closed for Summer Break on June 30th through July 4th. We will resume normal operating hours on Monday, July 7th.
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Dempsey Center›Registration Forms›Individual Oncology-Focused Counseling Intake Questionnaire

Individual Oncology-Focused Counseling Intake Questionnaire

Please be aware that submitting this form does not guarantee counseling services. Upon receipt and review of your completed form, your name will be placed on the counseling waitlist. A counselor will contact you to assess your needs and determine the most appropriate form of support.

What is oncology counseling?

Oncology counseling is a specialized form of counseling that focuses on supporting individuals who are diagnosed with cancer, their families and care partners, or those who have experienced the cancer-related death of a loved one.

Oncology counseling is designed to provide emotional support to help people cope with the impact of a cancer diagnosis or loss. In counseling, topics discussed can include coping with cancer related distress, fear of recurrence, managing uncertainty, anticipatory grief, navigating difficult conversations with loved ones and the impact on one’s normal roles and relationships.

Oncology Counselors may teach client strategies to enhance coping and reduce stress, manage the impact of cancer on relationships, sexual health and intimacy, and navigate different stages of a cancer impact. Oncology Counselors may also help clients to explore their feelings about mortality, loss and grief.

The Dempsey Center can offer up to ten individual counseling sessions, if needed, per impact.
Name:(Required)
MM slash DD slash YYYY
Please indicate if it is OK to leave a message at one of these numbers:(Required)
Counseling Location Preference (select all that apply):(Required)
What types of cancer treatment and care have you (or your loved one) had to date (Please check all that apply):
Concern Checklist (Please check all that apply. Space is provided for you to add comments):(Required)
Have you been previously diagnosed with any mental health conditions?
Next steps…

Once your form is complete, click “submit.” Your form will then be reviewed by a Client Journey Navigator and your name will be added to the Dempsey Center’s Oncology Counseling waitlist. A counselor will then contact you to assess your needs and help determine the most appropriate form of support.

If you have any questions about this process, please email us at counseling@dempseycenter.org.

IMPORTANT: The Dempsey Center does not provide crisis intervention services. If you are experiencing a mental health emergency, dial 988 or visit your local emergency department.

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Navigate
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Find Us

Lewiston
29 Lowell Street
Lewiston, ME 04240

1-877-336-7287

Hours:
Mon: 8:00 AM - 5:00 PM
Tues: 10:00 AM - 7:00 PM
Wed: VIRTUAL ONLY (8:00 AM - 5:00 PM)
Thurs: 8:00 AM - 5:00 PM
Fri: VIRTUAL ONLY (8:00 AM - 12:00 PM)
Sat-Sun: Closed

Rock Row - Westbrook
11 Rock Row, Suite 410
Westbrook, ME 04092

1-877-336-7287

Hours:
Mon: 8:00 AM - 5:00 PM
Tues: 10:00 AM - 5:00 PM
Wed: 8:00 AM - 5:00 PM
Thurs: 8:00 AM - 7:00 PM
Fri: VIRTUAL ONLY (8:00 AM - 12:00 PM)
Sat-Sun: Closed

Find Us

Lewiston
29 Lowell Street
Lewiston, ME 04240

1-877-336-7287

Hours:
Mon: 8:00 AM - 5:00 PM
Tues: 10:00 AM - 7:00 PM
Wed: VIRTUAL ONLY (8:00 AM - 5:00 PM)
Thurs: 8:00 AM - 5:00 PM
Fri: VIRTUAL ONLY (8:00 AM - 12:00 PM)
Sat-Sun: Closed

Rock Row - Westbrook
11 Rock Row, Suite 410
Westbrook, ME 04092

1-877-336-7287

Hours:
Mon: 8:00 AM - 5:00 PM
Tues: 10:00 AM - 5:00 PM
Wed: 8:00 AM - 5:00 PM
Thurs: 8:00 AM - 7:00 PM
Fri: VIRTUAL ONLY (8:00 AM - 12:00 PM)
Sat-Sun: Closed

Donations

Donations may be mailed to:
Dempsey Center
PO Box 277
Auburn, ME 04212
Checks should be made out to the Dempsey Center, please do not mail cash.
EIN Number: 82-1547129

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Donations

Donations may be mailed to:
Dempsey Center
PO Box 277
Auburn, ME 04212
Checks should be made out to the Dempsey Center, please do not mail cash.
EIN Number: 82-1547129

Presented in part by

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