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CLICK HERE TO PRINT FORM Mental Health Stepped Care & Head to Health Referral Form Mental Health Stepped Care and Head to Health are separate programs that deliver the same type of support. If eligible,
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How to fill out head to health home

01
Gather all necessary personal information and documents.
02
Visit the Head to Health Home website or physical location.
03
Complete the online form or paper application as required.
04
Provide details regarding your health concerns and any previous treatment history.
05
Include your contact information for follow-up.
06
Review your application for completeness before submission.
07
Submit the completed form either online or in person.

Who needs head to health home?

01
Individuals seeking mental health support.
02
People experiencing emotional distress or crisis.
03
Those looking for information on treatment options.
04
Families and caregivers of individuals with mental health concerns.
05
Anyone wanting to access mental health resources.
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Head to Health Home is a program designed to provide mental health support and services to individuals, helping them access appropriate care and resources tailored to their needs.
Individuals seeking mental health services under the Head to Health Home program, as well as healthcare providers and organizations facilitating access to these services, are required to file.
Filling out the Head to Health Home form involves providing personal information, details regarding health needs, and any relevant circumstances that will assist in tailoring the support offered.
The purpose of Head to Health Home is to connect individuals with mental health services and support, ensuring they receive the care necessary for their mental well-being.
Information that must be reported includes personal identifiers, health history, specific mental health challenges, and any current treatment or support services being received.
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