This form must be turned in to the Region V+ AMHI and Crisis Services Coordinator, Danielle Wadsworth, by submitting the form below. This request must be completed within 10 days of the incident/concern. The information contained within this form is to track issues related to service contracts and resolution. These will be reviewed and shared at Executive Committee meetings to ensure that service needs and concerns are being addressed and contracts are being upheld.
CALL 911 IF YOU ARE IN IMMEDIATE DANGER. 911 is to be used only for emergencies (police, fire or medical) where an immediate response is required – when there is an emergency and lives are in danger, immediate action is required or there is a crime in progress.
CALL THE CRISIS LINE if you are thinking of taking your life, need to talk to a mental health professional in your area. Call 988 for the Suicide & Crisis Lifeline.
CALL THE WARM LINE if you need someone to talk with, are feeling isolated, depressed, or anxious: 1-844-739-6369, 5 p.m. to 9 a.m. every night.
Mailing Address:
P.O. Box 219
Staples, MN 56479
Crisis Line
