Crisis Call
Form Submission
If you feel there is a high risk of immediate danger to the caller or those dependant on the caller you must fill out this form.
Are you alone at home
Are you able to call for some help or are you with someone who can make that call for you
Which service are you calling for help
We can make the call for you, would you like us to
If the caller would like you to make the call you MUST get the following information
Which service are you calling for help
Remain on the phone with the caller while you contact emergency services
Only end the call when you know emergency services are there
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