Dear Local Mental Health Stakeholders,We appreciate your participation.
The coronavirus (COVID-19) pandemic has thrust our community into unknown territory. We recognize this is a challenging time for all and that many in our community may be searching for resources regarding mental health and/or substance use disorder issues.
It is with this in mind that we would like to create and publish an electronic program guide outlining remote services available.
Please respond to the following questionnaire regarding your respective Mental Health and/or Substance Use Disorder Program.
1. Facility Name:
2. Facility Program Telephone Number:
3. Facility Website:
4. Program Type:
5. Are you providing remote service options (i.e. televideo conferencing and/or telephone counseling)?
6. If Yes, what services:
7. What funding sources do you accept? (unfunded, Medicaid/Medicare, private insurance, private pay, sliding scale fee)