LET’S CONNECT

COMPLETE the FORM

for your

NO-COST

NO OBLIGATION

15 minute CONSULTATION

with

Lea Frances-Poll

clinical mental health counselor

This form goes to an email address that is NOT monitored for crisis situations.

If you are in need of immediate support for thoughts of suicide or self-harm or harm to others,

please call 911 or the Behavioral Health Access Center at 435-251-4480.