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In Memoriam

Submission Form

TLPCA requests your help to honor the memory of mental health professionals in our community who have passed away. If you are aware of a friend, colleague, or co-worker who was a part of our professional community, please provide us with that person’s information. If you have any questions or concerns, please email Thank you for your assistance in commemorating the contributions and legacy of our colleagues.

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Your Name*
Your Email*
Name of Deceased Colleague, Friend, or Co-Worker*
This field is for validation purposes and should be left unchanged.