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Mental Health

Mental Health Intake Form

Thank you for taking the time to fill out the mental health intake form. Please be aware that the information you provide will be included in your chart and accessible to our social work team. This helps us better understand your needs and provide you with the best possible care and support. We want to assure you that all the information you provide will be kept confidential and used solely for the purpose of your care

Click here to complete and submit Mental Health Self-Referral Intake Form