Chat Registration:

The following is used for conversational purposes only and is optional.
First Name
Last Name
Postal code/Zip code    
Should our chat session end unexpectedly, is there an email address or phone number we may reach you at?
Contact Info
What is your main concern? * 
Other, please specify
Do you have thoughts of suicide? * 
How upset are you? [Scale of 1–5] * 
Age *
Gender * 
How did you find out about Crisis Chat? * 
Other, please specify
If you didn’t connect with us, who would you connect with? * 
Race – How do you identify yourself?
Origin of Chat

To enable Google Chat or SMS (text) communications please provide the following info:
Cellular Number:
Optional: Create a username & password for future use.
User name:  (6 - 12 characters)
Password  (6 - 12 characters)
Confirm Password 


Verification: To complete the registration, solve the CAPTCHA and click "Start".
(this additional step helps prevent malicious and automated attempts to access the site)


Already Registered?
User name: 
Forgot Password

Why do we need Javascript enabled?

Javascript is a powerful programming language often used in web browsers to improve the user experience and enable dynamic functionality in web pages.

 Several key features and functionality within iCarol Messaging are facilitated by Javascript.

In order for us to provide the user with a rich Messaging experience, we rely on Javascript.

Please rest assured that we respect your privacy and security and will never use Javascript or any other technology to compromise  either.