Vista Mental Health Support
Use this form to let us know if you are struggling and need us to check in on you. You can also use this form to let us know if you would like to start seeing a counselor at Vista for on-going support.

*The information in this form will only be used by Vista Staff to get you support. Since we will only be responding to this form on days we have class at Vista Monday-Thursday, if you are experiencing an emergency of any kind please call 911.  Once you have completed this form, a Vista staff member will be in touch with you within 24 hours.

*If you are in immediate danger of hurting yourself or someone else call 911 or use the resources listed below.

You don’t have to suffer in silence. Suicide is preventable. Help is only a call away.

National Suicide Prevention Lifeline:  1-800-273-TALK (8255).

If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Project Crisis Line (LGBTQ Youth):  1-866-488-7386 or Text  “Trevor” to 1-202-304-1200.

If you are experiencing a crisis call 911 or call or text Colorado Crisis Services.

Colorado Crisis Services:  1-844-493-8255 or Text “Talk” to 38255.
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DO NOT USE THIS FORM IF YOU ARE IN IMMEDIATE CRISIS-see resources above in that case.      I am struggling with my mental health and need someone to check in on me. List your name below
I would like Ms. Ali to check in with me next time I am at school.
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I am interested in starting counselings at Vista with a therapist.
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What are you struggling with the most right that you might like to work on in counseling at Vista?
Is there anything else you would like us to know right now?
How do you want us to contact you? (Leave your number or the best way to get a hold of you)
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