Confidential intake
Let's start with a few questions.
Five short steps, about five minutes. Answer what you can; "not sure" is always a fine answer. This is a request to talk, not a commitment to anything.
This form is not for emergencies.
If someone may be overdosing (will not wake up, slow or no breathing, blue lips), call 911 now and give naloxone if you have it. In crisis, call or text 988. Poison Help: 1-800-222-1222.
Demo notice: this is a sample website. The form works so you can try it, but it sends nothing and stores nothing.
Step 1 of 5: Who needs help
- Who
- Use
- Insurance
- Talking
- Review
Thank you, friend. That took courage.
On a real Alpenglow site, your request would go to our admissions team, and someone would reach you by phone soon, following your message preferences exactly.
This is a demo. Nothing was sent, saved or shared. Your answers never left this browser tab.
While you wait
If you want to talk now, call admissions any hour.
If things get worse
Call 911 for an emergency, or call or text 988.
For families
Tuesday family group is free and open to anyone.