Disclaimer:
Please do not include medical diagnoses, treatment information, insurance information, Social Security numbers, or other confidential health information in this form.
Please note that Poppy Life Care service does not provide crisis assistance or emergency intervention for individuals in immediate distress. If you are experiencing a crisis, having thoughts of self-harm, or are in need of immediate support, please contact a crisis hotline or seek assistance from local emergency services. Your safety and well-being are of utmost importance. Please reach out to the following resources for immediate help:
- National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
- Crisis Text Line: Text HOME to 741741
- Emergency Services: Call 911 or visit the nearest emergency room