Need to Talk? Virtual Break Room Appointment Request
This is not an emergency help line, and is only monitored between the hours of 9:00 a.m. and 2:00 p.m. If this is a mental health emergency, please reach out to one of these emergency lines:

California Youth Crisis Line 24/7 800-843-5200
Child Abuse Hotline for LA County 800-540-4000
Fire, police, ambulance, medical 911
Henry Mayo Behavioral Health 661-253-8989
LA County DMH 24/7 800-854-7771
National Domestic Violence 800-799-7233
National Domestic Violence-Spanish 800-942-6908
National Sexual Assault 800-656-4673
National Suicide Prevention 24/7 800-273-8255
Poison Control 800-942-5969
RAINN 24/7 800-656-4673
Rape, Abuse & Incest National Network
Strength United 24/7 818-886-0453/ 661-243-1722
(Experienced rape, sexual assault or child sexual abuse)
SAMHSA 24/7 800-662-4357
Substance Abuse & Mental Health Service Administration
SCV Sheriff 661-255-1121
Teen Line 6pm-10pm PST 800-852-8336
Trevor Lifeline 24/7 866-488-7386
(Suicide prevention to LGBTQ+)
Trevor Text text: START to 678678
Email address *
First Name (Nombre) *
Last Name (Apellido) *
Student ID # (Identificación del Estudiante) *
I think I would like to (Me gustaria): *
When would you like to talk (Cuando te gustaria hablar)? *
Briefly describe how we can help (ex: peers/friends, grades, family, something else): Describa como podemos ayudar? *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of William S. Hart Union HSD. Report Abuse