ATs Care Contact | NATA Forms

ATs Care has developed district and state CISM teams throughout the country that are readily available to respond to the needs of AT colleagues, students and staff after a critical incident. These team members are certified ATs specifically trained in critical incident stress management techniques who understand not only the issues you face during a critical incident, but also the reality that ATs continue to provide care and coverage to a team following the event. ATs will be able to provide you and your staff the support you need to navigate through a critical incident.

If you or someone you know responds to an emergency or experiences a traumatic event, please contact ATs Care. Critical incidents can cause stress that can lead to Post Traumatic Stress Disorder (PTSD). While it is normal to have an emotional reaction, most of us will need assistance processing these new emotions. Our teams have been trained to help you deal with these challenging situations.

If you have questions or would like more information about becoming a peer support provider, contact Katie Scott.
View the members of the ATs Care Committee.
If you would prefer to call the ATs Care Hotline, please dial 972-532-8821.

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AT's First Name *

AT's Last Name

Your First Name

Your Last Name

Are You A CISM Team Member with the ATs Care Program? *

Yes

If you are a registered CISM Team Member with a District or State ATs Care Program, select yes. All others, please select No.

AT's Phone

Extension

ATs Email

What Was the AT's Involvement In the Critical Incident? *

Direct Patient Involvement

Indirect Patient Involvement

COVID 19 Involvement

Direct Patient Involvement: A critical incident in which the AT was directly involved. Examples: AT performed CPR on patient, AT Family Member is ill or passed away, AT was diagnosed with cancer Indirect Patient Involvement: A critical incident in which the AT is impacted, but not directly involved in the incident. Example: Patient died in a car accident

Did A Fatality Occur? *

Yes

Date of Critical Incident (If Unknown, Use Today's Date) *

Month

Day

Year

Incident Notes (See Description Below)

If you are someone requesting ATs Care services, please provide a brief background of why you are requesting services. This is not mandatory and is confidential. If you are a CISM team member, please indicate whether or not services were rendered or declined, is the incident case open or closed, how many ATs were impacted, # of hours spent (estimated to the full hour) and # of contacts made.

Sport

Age of Victim

State

City

District *

School/Program

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