Client Intake Form

This page is to be used by SGS staff, Certified facilitators, and trained volunteers

Read Disclaimer:

The information given on this call is a public service and courtesy. This information shall not be construed as legal, medical, or mental health advice.  By continuing with this conversation, you are agreeing that SGS will not be held liable for any action taken because of this call.  SGS reserves the right to report to the proper authorities any incident perceived as a threat or imminent danger to oneself or another person.    

Do you agree to these terms in order to proceed with the call?  

If Client Says No- Disclaimer: 

Again, this information given is a public service and courtesy. This information shall not be construed as legal, medical, or mental health advice. By not continuing with this conversation, you are agreeing that SGS will not be held liable for not taking any action taken as a result. Please call 911 if you feel you are in danger or please call us back when you are ready to discuss your situation.  

Boys Town National Hotline:

 1-800-448-3000

National Domestic Violence and Sexual Assault Hotline:

1-800-799-7233

Confidential Trafficking Resource Center Hotline:

1-888-373-7888

Omaha Resources:

Minor's Social Media Usernames:
Do they have an account for collecting money?