Larimer County Behavioral Health Policy Council: Consumer Advisory Committee

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are seeking dedicated individuals interested in sharing their lived experience with mental health and substance use in order to provide guidance and insight as we work to improve access, quality, and mental health and substance use services/programs. By learning from individuals who have experienced these disorders and accessed the services we seek to improve, we will be better informed to improve mental health and substance use systems across Larimer County.

Name *

Which pronoun do you prefer (he/him, she/her, they/them)?

Phone Number *

Email Address *

Mailing Address *

Do you live in Larimer County? *

Yes

How do you prefer we contact you? *

Phone

How have you been impacted by mental health and substance use? *

Why do you want to be on the Consumer Advisory Committee? *

Are you presently serving on any other board or commission? If so, which one(s)? *

Clear form

Never submit passwords through Google Forms.

This form was created inside of co.larimer.co.us. Report Abuse

Forms