Crisis Lines Feedback & Change Request Form

Crisis Lines Feedback and Requests Form
This form is to provide feedback, report out-of-date information, or request any changes to the clinical or operational processes at Lines for Life. Your request will be reviewed by Crisis Lines Leadership. Please note that not all changes can be accommodated but each change request will be put under consideration.
Name

First NameLast Name
If this ends up being announced to the organization, do you want your name associated with this request, or do you prefer to remain anonymous?
Your Email
example@example.com
Optional additional email
example@example.com
Date

MonthDayYear
Date
Department/Nature of Request

Other
Please keep in mind that the Data Team is currently handling a high volume of requests. To ensure we can assist you efficiently, we kindly ask that you submit well-considered and relevant requests. This will help us prioritize and address the most critical needs effectively. Additionally, please note that all requests are subject to leadership approval.

This form is specifically for members of the Crisis Lines department. If you are from another department, please follow the separate process designated for your team. Thank you for your understanding and cooperation.
I would like to:
Name of Resource
Website Address
Thank you for your feedback. This information will get forwarded to our 988 funders, Oregon Health Authority, so that they can enable crisis system resource development.
Description
Change Request
Optional: Upload a file or a screenshot

Cancelof
Categories - Please check all that apply.
Feedback
We would like to know your name so that we can follow up with you, but if you'd like to submit anonymous information, you can go to Lines for Life's Digital Suggestion Box.
Should be Empty:

Crisis Lines Feedback and Requests Form