This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Adult Community Mental Health Center Screening Form is a legal document that was released by the Kansas Department for Aging and Disability Services - a government authority operating within Kansas.
Q: What is the purpose of the Adult Community Mental Health Center Screening Form?
A: The form is used to screen individuals for mental health services at the Adult Community Mental Health Center.
Q: Who is eligible to complete this screening form?
A: Adults who are seeking mental health services at the Adult Community Mental Health Center.
Q: What information is required on the screening form?
A: The screening form asks for personal information, a brief description of the problem, and consent for treatment.
Q: Is there a cost to complete the screening form?
A: No, there is no cost to complete the screening form.
Q: What happens after I submit the screening form?
A: A mental health professional will review the form and contact you to discuss treatment options.
Q: How long does it take to get a response after submitting the screening form?
A: The response time may vary, but you can typically expect to hear back within a week.
Q: Can I submit the screening form on behalf of someone else?
A: No, the screening form must be completed by the individual seeking mental health services.
Q: What if I need immediate assistance?
A: If you are in crisis or need immediate assistance, please contact the crisis hotline or go to your nearest emergency room.
Q: Are interpreter services available for non-English speakers?
A: Yes, interpreter services are available for individuals who do not speak English.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Kansas Department for Aging and Disability Services.