Please fill out this form to be added to PATH Inc's 211/988 database of health and human services. You will be notified once your agency has been added to the database.

Note: Agencies are added to the 211/988 database based on PATH Inc's Inclusion/Exclusion policy. This is a public document available on PATH’s website (https://www.pathcrisis.org/resources/service-providers). Submissions will be edited to match PATH’s Style Guide in order to maintain a clear and consistent database.  

Please note: Google will offer to save your progress in this form to whichever account you are logged into in your own browser. That is NOT information we have access to - we will only see what you enter below. Logging in is also not required for filling out this form.

For any questions please contact Anthony Morrison (amorrison@pathcrisis.org).