ATLAS of Lyon County Services Request
This short form will allow us to better be able to assist you with the situation that you are going through. Thank you for your time. Our office hours are typically 9a-4p Monday- Thursday. (It is best to set-up an appointment in advance. We cannot guarantee that walk-ins will be able to receive immediate attention).

ATLAS strives to help those in our community who are hurting or are in need by:

  • Providing a welcoming place of contact,
  • Sharing Jesus as the way to life and lasting change
  • Providing a connection to a local church.
  • Assessing needs & working with an individual or family on a plan that has measurable objectives to reach an overall goal.
  • Providing resources to develop life skills and work toward overall independence and connection to followers of Christ.
  • Referring to other professional services as needed,

Sign in to Google to save your progress. Learn more
Full Name *
Address *
Phone Number *
Email Address *
Preferred Method of Contact *
Briefly describe your situation *
Services that you are interested in: *
Required
What is the preferred day & time for you to be contacted? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ATLAS of Lyon County. Report Abuse