Chat Registration:

Email:  
The following is used for conversational purposes only and is optional.
First Name
 

 

Hours of Operation: Monday - Friday from 2 to 6 PM

Horas de Servicio: Lunes-Viernes de las 2 a 6 pm

(*) shows required fields.

Phone Number *

Please provide us with your contact number

in case the live chat session

gets disconnected unexpectedly.


Age
Birth Date
Gender
Preferred Language
How did you find out about our Live Chat?
What is your need?
Do you identify yourself as?
What is your ethnicity?
What is your race?

If you identify your race as Asian, choose from the following:

What is your Race: Type of Asian

If you identify your race as Pacific Islander, choose from the following

What is your Race: Type of Pacific Islander
Has the caregiver of the youth been in the military?
If 'Yes', which branch of the Military?

If this is a crisis contact the Access and Crisis Line

at 1-888-724-7240

If this is an emergency call 911

Si esta es una crisis llame a la Línea de Acceso y Crisis

al 1-888-724-7240

Si esta es una emergencia llame al 911


To enable Google Chat or SMS (text) communications please provide the following info:
Cellular Number:
 
Optional: Create a username & password for future use.
User name:  (6 - 12 characters)
Password  (6 - 12 characters)
Confirm Password 


(more)  

Verification: To complete the registration, solve the CAPTCHA and click "Start".
(this additional step helps prevent malicious and automated attempts to access the site)"




 

 
Already Registered?
User name: 
Password 
Forgot Password






Why do we need Javascript enabled?

Javascript is a powerful programming language often used in web browsers to improve the user experience and enable dynamic functionality in web pages.

 Several key features and functionality within iCarol Messaging are facilitated by Javascript.

In order for us to provide the user with a rich Messaging experience, we rely on Javascript.

Please rest assured that we respect your privacy and security and will never use Javascript or any other technology to compromise  either.