REQUEST SUPPORT

Start with what you can say.

A short form. You never have to describe what happened. We need a name, any name, and one safe way to reach you. Everything else is optional, and we explain why we ask.

You matter. If you are in danger, or facing a medical or mental health crisis, please reach emergency services or a crisis line where you are. They are there for moments like this. We are here for the longer journey back to shore, and we will be here when you are ready.

Name or preferred name

Any name is fine. It does not have to be your legal name.

How is it safe to reach you?

Email Phone call Text message

Use an address only you can read, if you have one.

Phone number

When is it safe to contact you? Optional

May we email you a confirmation?

The subject line will only say "We received your message".

Yes No, do not send anything first

Country Optional

So we can point you to services available where you are. Country only, never a precise location.

What are you looking for help with?

How soon?

It is urgent This week No rush

If this cannot wait, find a crisis line near you.

What would you like us to understand? Optional

You do not have to describe what happened. A line about what would help is plenty. characters left.

Pronouns Optional