Contact Root to Rise Please note: If you are experiencing a mental health crisis, visit your local emergency room or call 988. Name * First Name Last Name Email * Phone * (###) ### #### Preferred Contact Method Text Phone Call Email Are you interested in a free 15-minute video consultation? Yes No How did you hear about me? Thank you for reaching out, I will be in touch soon! If you are experiencing a mental health crisis, please visit your local emergency room or call 988. This form is not monitored.