MHCC Information Survey

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Please provide the following contact information, along with a few other questions, to keep the MHCC Website up to date with the latest resources for people with an interest in Mental Health. The MHCC URL is:
https://www.mhcccentre.com/

What is the name of your organization? *

Please provide a brief overview of the programs and services you provide in Centre County. (100 words maximum).

Which populations do you provide services for?

Children

Adolescents

Adults

Please select the category(ies) that your Centre County services for Child and Adolescents fit into.

Case Management

Community Based Services

Crisis Services

In-patient Mental Health

Out-patient Mental Health (Therapy / Counseling & Psychiatry)

Substance abuse

Veteran assistance

Autism

Please select the category(ies) that your Centre County services for Adults fit into.

Case Mangement

Community Based Services

Crisis Services

In-patient Mental Health

Out-patient Mental Health (Therapy / Counseling & Psychiatry)

Substance abuse

Veteran assistance

Ausism

Please summarize the services you provide in each of areas checked above.

What URL(s) of your organization do you want us to put on the MHCC Website?

What E-Mail address(es) would you like us to put on the MHCC Website along with a description?

Do you have a social media presence? If so please provide social media URLs that you want listed on the MHCC Website.

Physical Address(es) to include.

Phone number(s) for listing along with a description of purpose for the number.

Fax number(s) to include.

Would you like us to mirror the events posted on your online calendar to our MHCC Website calendar?

Yes

清除所选内容

Are you interested in joining the Mental Health Community Committee?

Yes

清除所选内容

If you are interested in joining, how should we contact you about the committee?

提交

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