MCT Pre-Survey Form Is the client presenting with immediate danger to him/herself or others? * Yes No Call 911 to connect the client with emergency care. Call NYC Well at 1-888-NYC-WELL for connection to other resources, if you are unsure whether your client meets criteria for mobile crisis, and/or if your client has complex concerns. Is the client living on the street or his/her whereabouts are unknown? * Yes No Call the homeless outreach team, or Call NYC Well at 1-888-NYC-WELL for connection to other resources, if you are unsure whether your client meets criteria for mobile crisis, and/or if your client has complex concerns. Does the client have an ACT team or receives AOT services? * Yes No Call the client’s case manager, or Call NYC Well at 1-888-NYC-WELL for connection to other resources, if you are unsure whether your client meets criteria for mobile crisis, and/or if your client has complex concerns. Continue to the MCT Online Form