SCARS Consent For Support Services Intake Form

Please Note

SCARS is a professional crime victims’ assistance and services provider. The following information is necessary for us to provide quality of care and meet our legal responsibilities. With this, you are granting your consent for our organization to help and support you.

  • Join the SCARS Institute 120 Recovery Program for Scam Victim-Survivors

    Apply Here for the SCARS Institute's 120™ Recovery Program (Support Program) for Scam Victim-Survivors who are committed to their recovery after their scam.
  • Please read each section and answer each question carefully. Respond as completely as possible so that we can best help you. One word answers are not the right way to tell us how to help you. We are professionals, and provide professional care to those we support. This is the reason we ask this information.
  • We are a professional crime victims' services provider, we need to know who is asking for our services.
  • By U.S. Law - COPAA - We are required to ask your age for all participation in our online activities. Please enter your birth date for age verification. We also require this to confirm you are an adult.
  • There is no cost for our support and recovery program
  • You must be functionally able to speak or understand English or Spanish to get the most from our Support Groups. However, our SCARS Partners offer support in other languages.
  • Tell Us About You

  • SCARS does not discriminate based upon gender roles. This is strictly to aid in identification.
  • This helps us understand how to help you report to your local police or access other local services for victims of crimes.
  • Our support groups are on Facebook, so you must have a Facebook profile to access our support groups.
  • The SCARS Institute 120 Recovery Program uses Facebook for its private/confidential online support groups and chats - We need this to confirm your identity and spot scammers or fakes, AND that you have a Facebook Account. If you do not know how to find this link, go to your PROFILE SETTINGS - you should see your profile link on that FB page. If you are on your App and see your HOME - click on the Profile Photo, then the THREE DOTS, then at the bottom of the Profile Setting page will be your Link! If using a browser, you will find your profile link in the address bar/fiend.
  • Just enter the number of years. If it is less than one year, enter 0
    Please enter a number from 0 to 20.
  • We now offer support groups on LinkedIn too
  • We also offer support groups on LinkedIn - We need this to confirm your identity and spot scammers or fakes, AND that you have a LinkedIn Account. You can get your profile link from your LinkedIn profile.
  • We now offer support groups on Reddit too
  • Enter your Reddit account or profile identifier "r/..." -- If you have none, please enter NONE
  • We need this to send you the invitation to join one of our Facebook support groups.
  • This is optional, but often we follow up with victims before onboarding them into our groups. We ask for this so that in the event of a crisis or other concern that we might reach out to you and offer help. It also helps us spot fakes or scammers asking to join.
  • Tell Us About What Happened/The Crime

  • The Following Questions are about the Most Recent Scam

    You can add any additional details about past scams, frauds, or cybercrimes in the general fields below

  • An approximate date is ok
  • How many days, weeks, or months ago did it end? When was your last conversation or communication with the criminals?
  • Includes: Secret Service, FBI, FTC, Europol, etc.
  • Tell us what you think might be useful so that we can best help you
  • Your CONTACT with the Criminals

  • Meaning you are not talking, chatting, or emailing with them.
  • Meaning that you are communicating with the criminals.
  • How many days, weeks, or months?
  • What Support You Are Looking For?

  • Please tell us what you are looking for in a support group. What services you would like to receive?
  • Either a Psychologist or Psychiatrist or other Medical Professional about your mental health. A Coach is not the same.
  • We are not trying to diagnose you, just to get a better understanding of how you are doing currently.
  • Other Anti-Scam Activities

  • Mental Healthcare Activities

  • Your Commitment

    The services that are asking to receive are free of cost, however the SCARS Institute only accepts those that are sincere and committed to their recovery after the scam.
  • Failure to participate regularly in the program may result in your removal from the program.
  • Your Consent

  • NOTE: If you click the submit button and nothing happens, scroll up and see if you missed any fields or there are errors.

  • Thank you for trusting SCARS to help you through your scam recovery and for requesting to join our SCARS Institute 120 Recovery Program. If approved and confirmed, you will receive an email invitation or a message through Facebook or directly with information on how to find and finalize your participation in our program. Sincerely, SCARS Institute Team Miami Florida U.S.A.
  • This field is for validation purposes and should be left unchanged.

NOTICE

PLEASE NOTE: Membership and Acceptance for SCARS Support Groups is subject to review and is not automatic. We will follow up with you by email and if accepted you will be notified. We reserve the right to reject any applicant.

SCARS Team
Society of Citizens Against Relationship Scams Inc.

The information you provide is private, confidential, and privileged – it will not be shared or sold to any third parties – this page and form are Copyright © SCARS

 

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