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- Click ‘Get Form’ to open the Screening Application in the editor.
- Begin by selecting your Program of Interest from the options provided: Domiciliary Care for Homeless Veterans, Substance Abuse Residential Treatment, or Post Traumatic Stress Disorder Treatment.
- Fill in your personal information including Date, Name/Address, SSN, Date of Birth, and Phone number. Ensure accuracy for effective processing.
- In the Chief Complaint section, describe the issues prompting you to seek treatment. Be as detailed as possible to help staff understand your needs.
- Indicate your treatment goals and list your strengths, needs, abilities, and interests in the respective sections to provide a comprehensive view of your situation.
- Check all applicable symptoms/problems from the list provided. This helps in assessing your current mental health status.
- Complete sections on Medical History, Education/Employment, Legal History, Military History, Family/Social History, and Homeless Screen with accurate details.
- Review all entries for completeness and accuracy before submitting. Use our platform’s features to save or print a copy for your records.
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