Crisis Help Intake Form

Crisis Help New Form

Basic Information


Address


Select the Type of Help You’re Seeking


Domestic Violence


Sexual Abuse


Drug Abuse Prevention


Advocacy & Civil Engagement


Additional Information


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WHO CAN CALL?


This crisis helpline is for anyone who is experiencing emotional distress, personal crisis, or urgent mental health support needs.

You can call if you are:

• Feeling overwhelmed, anxious, or unable to cope
• Experiencing emotional pain, panic, or severe stress
• Facing a personal or family crisis
• Feeling hopeless, alone, or in need of immediate support
• Worried about your safety or the safety of someone else
• Supporting a loved one who is in crisis and need guidance

Note:
This hotline is strictly for crisis support and emotional assistance.
It is not for food assistance, shelter requests, or general service inquiries.