Do not fill out this form if you are in a crisis situation. Please call or text 9-8-8 (24/7 Canadian Suicide Prevention Service).
For Children, Teens, and Young Adults: Kids Help Phone- Text “CONNECT” to 686868 or call 1-800-668-6868 to speak directly to an available professional counsellor.
Click here to see more services available for victims of abuse, rape, and other violent crimes in Canada and in your province.