FINE PRINT: Before completing this form, please consider that the information is not encrypted to ensure confidentiality.  We will not share your information with anyone, and it is unlikely that someone will access it; however, once you send this message it leaves your computer and enters a World Wide Web of computers over which neither you nor we have control; it is in theory available to be read by the system administrators of Internet Service Providers.  By contacting us through this form you are indicating that you understand these limits to confidentiality. 

If you are experiencing a mental or behavior health emergency, please call 911, go to your closest emergency room, or contact your nearest crisis resource, which can be found at ​http://crisissolutionsnc.org/