Adult Mental Health Contact Form

If you have a question, would like more information, or have another concern, please complete the form below. Please note that the form submissions are not monitored 24/7.

IMPORTANT: If you need immediate assistance click on Live Chat, call (855) 581-8111, or text (855) 895-8398.

First Name (optional)

Phone

County

Comment/Question (optional)

You have taken an important step

You have taken an important step by filling out this confidential form and by checking the box below you agree to have a mental health professional contact you.

I agree to have a professional contact me.