Storm Support Registration Request

JFS is offering FREE internet support sessions via Zoom Conference Calls to discuss the impacts of weather events on our behavioral and mental health well-being Monday through Friday.

These one-hour Support sessions are designed to provide a safe and supportive virtual environment for participants to connect, learn, comfort, support, and socialize to promote our psychological health during this stressful time during the hurricane season. All support sessions are being facilitated by a rotation of licensed clinicians or master’s level clinical intern students under supervision through a HIPAA compliant Zoom system.

Please note that registration is required before joining the session, and the session will be closed after 15 minutes of the start time.

If you would prefer to have individual or group therapy/ counseling sessions instead of a general support session, you may make appointments for therapy/counseling (by phone or online) by filling out our online form link provided at the end of this registration.
1.What is your name?(Required.)
2.In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
3.What is your phone number?(Required.)
4.What is your email address?(Required.)
5.Are you a current JFS client?
6.What is your age?
7.I understand that the purpose of the support session is limited to only issues related to past and future weather events and is not considered mental health counseling or therapy.(Required.)
8.A representative of JFS will contact you to schedule your individual support session. Please let us know your preferred method of contact?
9.I understand that there will be no recording of any of the online sessions by either party.(Required.)
10.I understand that using telemental health services using Zoom could encounter technical difficulties resulting in service interruptions.(Required.)
11.Would you be interested in learning more about other zoom support groups JFS offers?
12.Would you be willing to complete a brief survey after your support session to get a better understanding of how this experience was for you? The survey will be sent to the email you provided for registration.
13.I am aware that if I am experiencing a life-threatening emergency, I will call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).(Required.)
14.What day of the week are you available for your support session?
15.What time of day would you prefer your support session to be scheduled?
16.JFS also provides individual or group therapy sessions via telemental health services using Zoom. Would you be interested in learning more about scheduling time with a clinician?
If you are interested in counseling services please click not he the following link to be taken to our online request form.   https://www.jfshouston.org/client_referral_form.php