Get your cheatcode — Simply Human Project
Share your details and how soon you want to hear back.
This is free. There is no income test, no insurance, and nothing to prove. Answer these and you get a straight answer back — where the real help in this city is, whether you qualify for care through us, and if there is a wait, where you stand in it. We are not placing people with therapists yet; that is what we are raising money to do. If it is an emergency right now, call or text 988 instead — that line is staffed every hour of every day, and this form is not.
Full name
*
First Name
Last Name
Email
*
example@example.com
Mobile number
*
Please enter a valid phone number.
Format: (000) 000-0000.
ZIP code
*
Age
*
Please Select
Under 18
18-21
22-26
27-35
36-49
50-64
65+
Who is this for?
*
Me
Someone I care about
Both
What's going on, in your own words?
How urgent does this feel right now?
*
This week
Within the month
Just exploring for now
Best way to reach you
*
Text
Phone call
Email
I understand Simply Human is not a crisis or emergency service, and that for an emergency I should call 988 or 911.
*
I understand Simply Human is not a crisis or emergency service, and that for an emergency I should call 988 or 911.
Tell me about Gather nights and free events near me
Tell me about Gather nights and free events near me
Send it
Should be Empty: