Service Intake Form
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- Service Intake Form
If you are in crisis or immediate danger:
- Call or text 988 for suicidal thoughts, emotional distress, or crisis support.
- Call 911 or go to the nearest emergency department for immediate physical danger or medical emergencies.
- This web form is not continuously monitored and should not be used for emergency help.
Privacy and Use of Information
Submissions are received by authorized Guardian Grounds service coordinators only.
Information is used solely to connect individuals with appropriate support or referral services.
Guardian Grounds does not routinely report requests for help to an individual’s employer or agency.
Exceptions apply only in cases of legal obligations or immediate safety concerns.
Please note: We avoid absolute statements like “all information is secure and confidential” until final system and partner details are confirmed.