Submit a request – Mental Health First Aid Help Center

Please select the topic that best describes your inquiry.

Your email address

First Name

Last Name

Please enter the email that is associated with your MHFA account.

Phone Number

Please enter the best phone number where we can reach you.

Subject

Please provide a subject line

What can our Client Support Team help you with?

Please select the topic that best describes your issue.

How can we help you with Submit a Course? (optional)

if you need help with something else, please describe your issue in the text box below.

How is this course delivered?

please select the method you are using to teach your course.

Is the course being taught in relation to the Florida Department of Education? (optional)

If you are not affiliated with the Florida Department of Education, please leave this field blank.

When is your course scheduled to start?

Please select the time frame in which you live training session is set to begin.

What is your course ID?

If you are teaching your course in Connect, Your Course ID is the 7-digit numerical value that appears at the very end of the URL. If your course is taught via Submit a Course, our Course ID is the 7-digit numerical value that appears at the very end of the URL.

What are the details of your accessibility request?

Please describe the accommodations you are requesting. If more than one type of accommodation will meet the needs of your request, please share that information here.

How is your course delivered?(optional)

How can we help you with MHFA Connect? (optional)

What is your first aider's email address?

please enter the email address(es) of the First Aider(s) who needs support.

What is your MHFA Certification Type? (optional)

Please select the user type that best describes your relationship with MHFA. If you hold all certification types, please select "coordinator" and "instructor."

If you have a question about SAMHSA related grants, applications, or course delivery, please email samhsa@thenationcouncil(optional)

please email samhsa@nacm for suppport

How did you hear about Mental Health First Aid? (optional)

I am affiliated with an organization. (optional)

Who does your organization serve?

Please tell us about your orgs mission and community impact.

What is the name of your organization?

How many MHFA Instructors or First Aiders is your organization hoping to train? (optional)

Please give a rough estimate of the number of trainees you're hoping to certify if you have one.

We'd love to know your feedback. Please enter your comments in the field below.

In your submission, please include as much detail about the MHFA product, experience, or curriculum as you feel comfortable. You feedback will be shared with our product development team.

Please enter the first name(s), last name(s), and email address(es) of the instructor(s) you hope to coordinate for.

By submitting this request, you acknowledge that each Instructor that you list agrees to allow you to “act as” their resource of logistical support for course information and data. Please ensure you have permission from each Instructor before submitting their name here.

Please enter the email address of the instructor(s) you hope to coordinate for.

If you are requesting coordinator access, please upload your completed coordinator request form as an attachment at the bottom of the Request Assistance Form.

Please briefly describe any additional details for your inquiry.

Please note, there is a 150 word limit. If no additional information is required, type N/A.

Attachments(optional)

Add file or drop files here