Secure Contact Form

Screening for Services

Thank you for reaching out please know that we will reach out to you within three business days of getting your message. If you need to ask additional questions sooner please call or text 603-332-8000. We are not a crisis support center if you feel you need more emergency services please call 988 or 911 to get more immediate support.

603-332-8000 ext 92 for Intake Department

First name

Last name

Email address

Phone number

Can we send you a text?

Best times of day to reach you by phone

Please tell us why you are reaching out in a few sentences (i.e. I am having anxiety daily and want additional support)

Your information will be encrypted.