Screening Questionnaire
Your participation makes a difference
Crisis Support
If you are experiencing a crisis or medical emergency, immediately dial 911 and/or go to the nearest emergency room. If you are having suicidal thoughts or thinking of harming others, immediately dial 988 and/or go to the nearest emergency room.
Reading Requirements
1
Click "Read Full Document" below to access the full consent.
2
Scroll through entire document to read the full consent.
Consent Document
Your Privacy
Protected & Secure: We will assign a code that is uniquely and privately tied to you. This protects your identity and ensures that your data stays safe.
Your Rights
Completely Optional: Your participation is completely voluntary, You can withdraw or contact us with concerns at any time.