Family Crisis Debrief

NOTICE: Before you give us your information, we want to assure you that we fully respect your privacy and will always keep your details confidential.  They are never shared with a 3rd party.  We use this information only to determine our ability to serve you.  We will email or call you at the address/number you provide to continue exploring the best options for you.

We do not use this information to make any automated decisions that might affect you.  If you are accepted for debriefing, your information is securely archived.  Only the information you voluntarily share with us in the form below is collected.

If we are unable to accommodate your request for any reason, your information is automatically deleted after 30 days.  You have the right under EU law to request that your data be erased so feel free to contact us after your debriefing if you would like us to delete your identifying information from our records.

Family Crisis Debrief Application

Are you filling in this form on behalf of someone else?*

Please acknowledge you have read the above notice and agree with it before filling in this form:

What happened? Give us a brief overview of the incident, when and where it happened, who was involved and your role in it. Check off each box to be sure you have covered everything in the big box below.

Did you take part in a structured defusion immediately after the incident?*

15 + 2 =


Find us:

We are physically located in France, only 15 minutes from the Geneva, Switzerland airport: 

2067 Route de Tutegny

01170 Cessy, France

Tel:  +33(0)450.28.03.81

Copyright 2019, Mercy Ministries International.  All Rights Reserved.