Request an Appointment
Please complete the form below to submit a request for an appointment with a mental health/substance abuse professional. If you are a parent making a request for your child, please put your child's information in the 'Client' section and your name in the 'Contact Person section'.
If you require immediate assistance or you are experiencing an emergency:
- Call 911
- Go to your nearest hospital emergency room
- Contact our agency crisis line at 1-708-681-4357 (HELP)
Please note: This form is for requesting appointments with mental health/substance abuse professionals only. You may call the Central Access department to speak to someone directly about an appointment at 1-708-410-0615; Monday through Thursday 8:30 a.m. - 6:00 p.m. and Friday 8:30 a.m. - 4:30 p.m.
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