Feedback Form

At LifeStance Health, we value your input. Please provide additional information about your experience.


This feedback form is intended for general inquiries, comments, or suggestions and should not be used for time-sensitive matters or urgent/emergent mental health crises.


If you or someone else is experiencing a mental health crisis or emergency, please take immediate action by:

  • Calling 9-1-1 for emergency assistance.
  • Contacting the National Suicide and Crisis Lifeline by calling or texting 9-8-8.
  • Visiting your nearest emergency room for in-person care.


This form is not monitored in real-time, and responses may be delayed. For urgent concerns, please use the resources listed above to ensure you receive timely and appropriate support.

 

Write 'Anonymous' if you do not want to be identified.

 

Write 'Anonymous' if you do not want to be identified.

 

Patent Representative example: family/friend, caretaker, guardian, etc.