Mental Health Support Request Form
This appointment request form should not be used for crisis situations. If you are in need of immediate support please contact one of our community partners.
We will respond to your appointment request within 2 business days.
Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please contact the Office of Advancement at firstname.lastname@example.org