#Fund988KY Advocacy Information Form
Sign up here to be included in advocacy information around funding 988 in Kentucky, beginning in November 2021. You are giving us permission to email and/or call you about this important advocacy issue for KYGA22 and beyond. MHA Kentucky and AFSP Kentucky Chapter will have access to all responses.

If you represent an organization and would like to formally sign on to this effort, please use this form instead: https://forms.gle/WcKnpbrHU69Soush8
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Email *
First Name *
Last Name *
Titles or Credentials (MD, DO, LCSW, RN, PhD, etc)
Email Address Where You'd like to receive updates *
Kentucky County Where you Live *
Phone if you'd like us to call you when it's time to contact your legislator
Job Title
Organization (if affiliated with one)
Please list contact information for any contacts you have that may be able to help us win over the Kentucky Legislature in 2022.
Do you have experience calling the National Suicide Prevention Lifeline or with mental health crisis services that you'd like us to know about? *
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