SENHS-Help For a Loved One

I’m Seeking Help or Information for a Loved One

ARE YOU IN CRISIS? GET HELP NOW:

Call or Text 988 or Chat or call 833-710-6477 for 24/7 Support. Learn more: NH988.com

IF THIS IS AN EMERGENCY DIAL 911

Please complete the form below and a member of the SENHS team will contact you. The information you provide will help us understand how we can best assist you.

How old is the person you're seeking help or information for?(Required)

18 or older

Under 18

Is this person currently using alcohol or other substances, or experiencing mental health concerns or symptoms?(Required)

Yes

No, but I would like to learn more about signs, symptoms, or treatment options.

How can we help?

Please briefly describe what you're looking for, any concerns you have about your loved one, or any questions you'd like us to answer.

Name(Required)

First Last

Phone(Required)

Email(Required)

Preferred contact method:(Required)

Phone

Email

Either is fine