MY LIFE information request

This form is for inquiries on the MY LIFE program only.

If you are a member or provider, please find information to contact us here, as we will not respond through this form.

Please be aware this email inbox is not monitored 24/7. If this is an emergency situation, you should do one of the following:

  • Call 911.
  • Go directly to an emergency room.
  • Call your doctor or therapist for help.

Thank you for your interest in Magellan Youth Leaders Inspiring Future Empowerment (MY LIFE). Please complete the form below, and we will be in touch as soon as possible.