If You Are Experiencing A Mental Health Emergency,
Please Call Valley Creek Crisis
If You Are You Experiencing Homelessness
During the Covid-19 crisis, restriction are in place for Intake appointments. If you have questions about scheduling, please call ext 165. Please leave a voicemail and your call will be returned or you may send your questions to Intake@hsi-cmhs.org.
All clients, new or returning, must complete an Client Registration Form. This may be a self referral, or it can be completed by a current treating professional. Once the form is completed, it may be dropped off at any of our offices, faxed to INTAKE@HUMANSERVICESINC.ORG. The Intake Coordinator will be in contact regarding scheduling. or emailed to
If you are court ordered for treatment, please include a copy of the sentencing sheet or court order showing the requirement. We cannot schedule you without this information.
Incomplete forms will NOT be considered for scheduling.
IF YOU WOULD LIKE A WORD DOCUMENT VERSION
PLEASE EMAIL INTAKE@HUMANSERVICESINC.ORG
PLEASE COMPLETE PAGES 1 - 8 AND TURN INTO INTAKE
PLEASE KEEP THE REMAINING PAGES
Outpatient Intake Information
Referrals are accepted from physicians, hospitals, schools, social service agencies, the legal system, attorneys and individuals.