By completing this form,
I confirm that I am NOT in an emergency situation, not suicidal, and not in a state of danger to myself or others.

If you or someone you know is suicidal or poses a threat to others,
get help immediately by calling 911, the National Suicide Prevention Lifeline at 1-800-273-8255,
the Crisis Text Line (text “HOME” to 741741), or go to the nearest emergency room.

Please note that requests are NOT monitored after business hours.
APPOINTMENTS ARE EXCLUSIVELY VIRTUAL FORMAT AND NOT IN PERSON AT THIS TIME.