Please print this entire packet, with each form on it's own page. To ensure you receive an assessment on the same day you return your paperwork, please be sure to include proof of income and your insurance card.
How are you feeling?
Mental health is a key part of your overall health. Brief screenings are the quickest way to determine if you or someone you care about should connect with a mental health professional - they are a checkup from your neck up. This program is completely anonymous and confidential, and immediately following the brief questionnaire you will see your results, recommendations, and key resources.
MENTAL HEALTH RECOVERY SERVICES OF WARREN & CLINTON COUNTIES
If the individual is age 17 or under, please print this entire packet, provide proof pf insurance and proof of income for the household. When appropriate, also please provide custody paperwork. You may return this packet to any one of our offices and you will receive a call to set up an appointment for an assessment.
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.