Chat Registration:

City * 
Postal code/Zip code    
What are you concerned about today? * 
Other, please specify
How upset are you today? [Scale of 1–5] * 
Age *
Gender * 
How did you find out about Crisis Services? * 
Other, please specify
If you didn't connect with us, who would you connect with?

To enable Google Chat or SMS (text) communications please provide the following info:
Cellular Number:


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



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.