CCMH Forms and Releases

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Alcohol & Drug Application for Services

View & Download

Mental Health Application for Servies

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Application for Employment

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Family Group and Visitation Release

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Alcohol + Drug PHCO Release of Information

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CCMH Client Rights Policy

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Basic Release of Information

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Non-TPO Release of Information

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Education Records Release (FERPA)

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Fee Assessment Application

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Sliding Fee Scale Application Form

View & Download