Request a new Safe Haven waiver

Complete the form below to request a new Safe Haven waiver to sign for account access.

NOTE: This form is exclusively for members with expired waivers. If you've already signed the waiver, but have not gained account access, please submit a Help Desk ticket and someone from our team will assist you.

❗️ Your Safe Haven ID is: . Click the button below to copy it if you need it for a Safe Haven service.

Copy Safe Haven ID
Enter your email address
Enter your Safe Haven ID
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Enter something you need help with like depression, anxiety or a break up.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
We're creating a new waiver for you. While you wait we want you to know that we're happy you're here — here's a virtual hug 🫂
Your waiver has been successfully created. Click the button below to sign it and unlock your account.

❗️Do not create another waiver. If you are having issues accessing or signing the new waiver, create a Help Disk Ticket and someone from our team will assist you.
Sign Waiver
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

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