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WHIRE Agency Information
WHIRE (Wayne Holmes County Information Referral Exchange) is the electronic replacement for the transition of 211
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What is the name of your agency?
Your answer
Who should be listed as the main contact for your agency (visible to the general public for contact purposes). If you have multiple locations, list a person for each location:
Your answer
Please list your agency phone number(s):
Your answer
Please list an email contact for your agency (visible to the general public, or list: "none"
Your answer
Please list all addresses of your agency:
Your answer
Please list your preferred website url:
Your answer
Please describe your agency / services in two sentences or less:
Your answer
Please list all age groups you serve:
Early Childhood
Preschool
School Aged
Teen
Young Adult
Adult
Senior 65+
Please list insurance options accepted by your agency:
Medicaid (Care Source, Buckeye, etc.)
Private Insurance
Sliding Scale
Does not accept insurance
Other:
Under which categories can your services be represented?
Support Addressing Physical, Sexual, or Emotional Abuse
Counseling / Psychotherapy for Health
Counseling / Psychotherapy for Substance Usage
Support gaining employment skills and jobs
Before / Afterschool / Summer programming
Employment for Individuals with Developmental Disabilities
Case Management (CPST)
Psychiatry
Family Counseling
Mattress Support
Food Assistance
Heat Assistance
Soft Skills Development
Job Placement
Before School Youth Programming
After School Youth Programming
Summer Youth Programming
Mentorship
Other:
Which specialities does your agency provide? (check all that apply)
Spanish Speaking
Trauma informed care
Neuro-mental imaging
Adventure Therapy
Equine (Horse Therapy)
HBI / IHBT (Home Based Intervention Therapy)
Teen Institute
Deaf / Hard of Hearing
Budget Counseling
Car Repair Assistance
Clothing, Shoes, Furniture
Dental Resources
Drug and Alcohol Services
Educational Services
Employment Services for Individuals with Developmental Disabilities
Ex Offender Resources
Eye Care
Financial Assistance
Food Assistance
Government Benefits
Health Care Resources
Housing Resources
Counseling
Rent Assistance
Utility Assistance
Other:
What are your hours of operation?
Your answer
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