Tech Support Request Form
This is a form you fill out when experiencing technical issues (with the Wysa app or your devices in general) and need technical assistance. Please allow 2 - 6 hrs during business hours to respond to your request.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What are you having an issue with?
Please Select
Issue with Wysa app
Other Technical Issue
Please describe your issue:
Which organization are you a part of?
California Clubhouse
Heart & Soul
BHRS - Total Wellness
BHRS - OASIS
BHRS - Tay
None
Other
Submit
Should be Empty: