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If your life is in danger, call 911

If you or someone you know is in crisis, call or text 988.

Not an emergency? Talk to a provider any time, day or night.

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8:00 a.m. - 6:00 p.m.

 TTY: 1-844-804-6086
or Relay: 711

 

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When filling out this form, please don’t include personal health information, like details about your diagnosis, treatment, or medications. This kind of information is called PHI (Protected Health Information). For your safety, please don’t include:  

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  • Treatment details 
  • Other private medical information 

If you need to share information like this, use the secure portal instead. You can also call us to talk with someone directly.  

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We will never ask for your password, PIN, or account number. If someone asks you for this information, please hang up and reach out to us directly. We are always here to help.