Request a screening 

If you're in a mental health crisis, you can call, text, or chat with a trained professional at the 988 Suicide & Crisis Lifeline. For more information, visit 988lifeline.org. If this is a medical emergency, please call 9-1-1 immediately or go to the nearest emergency room.

Rogers is here to help! Call 800-767-4411 for a free screening or complete the form below. We will call you back as soon as possible to complete your screening. Please know your information is confidential and the screening process complies with HIPAA regulations. Healthcare providers can refer a patient here

 

Location: Required --None-- Appleton Atlanta Brown Deer Denver Hinsdale Kenosha Los Angeles Madison Miami Minneapolis Nashville Oconomowoc Philadelphia San Diego San Francisco East Bay Seattle Sheboygan Skokie St. Paul Tampa West Allis

Level of Care: Required --None--Inpatient Residential Partial Intensive Outpatient

Name: Required

Parent or Guardian Name:

Date of Birth: Required

Email: Required

Phone: Required

Ok to leave Voice Message: Yes