Choose a safe contact method
Name is required. Use a safe email or phone number, then add location or extra details only if they feel useful.
Private intake
Use this page when the situation involves work, a person in power, a facility, foster care, detention, medical care, therapy, caregiving, retaliation concerns, or an assault connected to services or an opportunity.
Before you send
Name is required. Use a safe email or phone number, then add location or extra details only if they feel useful.
The intake request is used to understand the situation and help narrow the resource path. We do not contact employers, facilities, agencies, or care providers from this form.
A few words like supervisor, retaliation, coworker, foster care, detention, nurse, therapist, caregiver, or workplace harassment are enough to start.
Use a safer device or direct call if monitoring is a concern. Do not include emergency information or facts you are not ready to share.