Please print this entire packet and return it with proof of insurance if applicable. If you are a Warren or Clinton county resident and are interested in being considered for the MHRB sliding fee scale please provided proof of income and residency as well.
Please click on the link to see the FY21 client handbook. If you have any questions please contact us at 513-228-7800.
After reviewing the handbook, please sign and return to the agency. Ask your contact provider if you have any questions regarding the information.
If you are existing client, we complete annual financial paperwork after July 1, 2020. Please print and sign these documents to return to us. We need to get copies of any valid insurance cards as well.
If you are a Warren or Clinton County resident and would like to be considered for the subsidy program through Mental Health Recovery Board Serving Warren and Clinton County you must provide proof of income and residency along with this packet.
If you are referring a client for services, please completely fill out this release of information, sign and date it WITH the client being referred. This will enable Solutions to communicate with you appropriately on the clients status.