Telewell does not offer crisis counseling or emergency services. Please STOP and call 911 or go to your nearest emergency room if you are experiencing a medical or mental health emergency. If you are contemplating suicide or think that you are a danger to yourself or others, please STOP and call 911 or go to your nearest emergency room. If you are in crisis, call the National Suicide Prevention Hotline at 1-800-273-8255 or contact the Crisis Text Line by texting HOME to 741741. This Website and the services provided by Telewell DO NOT necessarily create a doctor-patient or therapist-patient relationship. Information provided on this Website DOES NOT create a doctor-patient relationship between you and Telewell LLC or its practitioners. Please note that requesting an appointment does not guarantee you will receive mental health services. Additionally, there is no specific timeline with which Telewell clinicians reply back to you or the individual for whom you are seeking mental health services. *Disclaimer - This is not a HIPAA form of communication - do not submit sensitive information through this form.*