Homeless Outreach and Rapid Response Form
This Mental Health Association Oklahoma form is designed for a mix of public use and reporting with Tulsa Police Department and security agencies so that the Association's Oklahoma's Homeless Outreach and Rapid Response team can respond to individuals experiencing homelessness.

PUBLIC USE: Please select HOMELESS OUTREACH. Please ignore the TPD ONLY sections and homeless outreach will occur within the next business day.

TPD USE: For TPD requesting on-site assistance, after radioing for dispatch please fill out form and select RAPID RESPONSE. For after hours or reporting outside catchment area select HOMELESS OUTREACH and fill out form. TPD questions regarding disposition can be found by contacting the department's mental health liaison.

Email address *
Type of Request *
Requester *
What are the nearest cross-streets where person is located? *
Your answer
Description of area of location (i.e. behind QuikTrip, next to CVS, etc.) *
Your answer
Location Details *
Description of Person: Gender *
Description of Person: Age *
Description of Person: Race *
Description of Person: Belongings
What are the person's needs?
Full Name of Person in Need (if known)
Your answer
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