Request for Services What service are you interested in?*Counseling and Community SupportPsychiatryMentoringParenting ClassesTrainingServices for your school buildingWe’re sorry but at this time we are no longer accepting new psychiatry clients. Are you interested in becoming a program partner?YesNoAre you interested in having a staff member speak about the program at your organization?YesNoAre you interested in becoming a mentor?YesNoAre you interested in mentoring for your child?YesNoTell us more Counseling and Community Support Services*AdultChildName of School Building*Presenting Problem Select All Depression Anxiety Psychosis Anger/Aggression Mood Swings Trauma/PTSD Grief/Loss Eating Disorder Attention/Concentration Issues Behavior Issues Marital/Relationship Concerns Additional Needs or Concerns Select All Legal Financing Housing Food Instability Requesting Help WithAre you interested in becoming a mentor?YesNoAre you interested in mentoring for your child?YesNoSelect your desired service:Suicide PreventionTrauma-Informed TrainingMental Health First Aid Name First Last PhoneEmail I prefer to be contacted by:PhoneEmail