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:
I’m sorry we cannot proceed with this call. If this is a medical emergency, please call 911. If this is a mental health emergency, please call or text 988.
NCMEC:
1-800-843-5678
Boys Town National Hotline:
1-800-448-3000
National Domestic Violence and Sexual Assault Hotline:
1-800-799-7233
RAINN (Rape, Abuse & Incest National Network):
1-800-656-4673
Confidential Trafficking Resource Center Hotline:
1-888-373-7888
Omaha Resources:
- WCA - (402) 345-7273
- Omaha Police Department - (402) 444-5600
- Omaha FBI - (402) 493-8688
- Project Harmony - (402) 444-5636
- Omaha Child Protective Service - (402) 595-3250
- Omaha DEA - (402) 965-3600