If you need financial assistance due to unemployment/hardship or high deductible insurance, please complete the following form:
Sliding Fee/Hardship Application - English
Sliding Fee/Hardship Application - Spanish
Behavioral Health Screening Tools:
You are encouraged to print and complete any of these questionnaires and bring them with you to your appointment. A behavioral health professional will review and help you identify an appropriate course of treatment.
The PHQ-9 is a basic self-screening tool used to help identify depression.
PHQ-9 For Adults and Children
The GAD-7 is a basic self-screening tool to help identify anxiety.
Post-Traumatic Stress Disorder:
The Post Traumatic Stress Disorder (PTSD) screen is a basic self-screening tool to help identify PTSD.
Adolescent Substance Abuse:
The CRAFFT Screening Tool for Adolescent Substance Abuse is a basic screening tool to assess adolescent involvement with alcohol and other drugs in the past 12 months.
CRAFFT Screen – English
CRAFFT Screen – Spanish