Primary Care

  • 7-day post discharge follow up appointments
  • Wellness &¬†Physical Exams
  • Preventive Care
  • Same Day Care
  • Telemedicine
  • STD/HIV/HEP testing
  • Nurse on Call
  • QuickCare Clinic
  • Blood Sugar Screenings

If you are a new client, click on the below links to fill the online forms to fill and take the print out Or click on the download button.

 

Medical Screening

New Client Registration

Authorization To Disclose Client Information (Medical Emergency)

Authorization To Disclose Client Information (General)

Authorization To Disclose Client Information (Emergency Contact)

Download All Forms

Addiction Services

  • Medication Assisted Treatment for Opiate/Alcohol Dependency
  • Intensive & Non-Intensive Outpatient Group Therapy
  • Comprehensive Assessments (same day appointments)
  • Individual Counseling, Case Management, Crisis Intervention
  • Urinalysis (CLIA Waived)
  • 24-Hour Hotline
  • Love Ones in Recovery (OPEN to the public)
  • Methamphetamine Specific Treatment Services
  • Continuing & After Care
  • Mobile Crisis Team

If you are a new client, click on the below links (or click the download button) to print out and complete the online forms.

 

Authorization to Disclose Client Information Form (General)

Input for Treatment Planning

Medical History & Screening Form

Registration Form

Criminal Justice Release of Information

Emergency Contact Release of Information

Employment Verification

Pre-Screen

Download All Forms

Behavioral Health

  • Psychiatric Services
  • TeleHealth Therapy
  • Comprehensive Assessments (same day appointments)
  • Community Based Services
  • Group & Individual Therapy
  • Peer Support Services
  • Case Management
  • 24-hour hotline
  • Family Therapy

If you are a new client, click on the below links (or click the download button) to print out and complete the online forms.

 

Input for Treatment Planning

Medical Emergency Contact Disclosure Form

Consent to Treat

Input for Treatment Planning

OHMHAS Notice of Privacy Practices

Orientation & Patient Rights

Registration Form

Emergency Contact

Employment Verification

Download All Forms

Prevention

  • Adult & Youth Services
  • Continuing Education Training (Social Workers, Professional Counselors, Addiction, Medical Professionals)
  • Mentoring
  • Volunteer/Peer Support Program
  • Internship Program (University of Cincinnati, Cincinnati State, Beckfield, Union Institute & University)
  • Healthy Relationship Training
  • Male & Female Empowerment Groups

Payment Options

 

We accept:

Medicaid

Medicare

Private Insurance

We accept all major credit cards and cash

Sliding scale for those eligible