CCMH Forms and Releases

 

Alcohol + Drug Application for Services

Mental Health Application for Services

 

Application for Employment

Family Group and Visitation Release

 

Basic Release of Information

Non-TPO Release of Information

 

Education Records Release (FERPA)

Alcohol + Drug PHCO Release of Information

 

CCMH Client Rights Policy

Sliding Scale Fee Assessment Packet

 

Sliding Scale Rates