AGENCY FORMS

• HIPAA Privacy Notice
• HIPAA Privacy Notice Signature Form
• Consent for Treatment (General)
• Release of Information (General)
• Consent for Treatment (Juvenile Detention Center)
• Release of Information (Juvenile Detention Center)
• Client Rights

Mental Health Advocacy and Support

• National Alliance on Mental Illness
• NAMI of Medina County
• NAMI of Ohio
• Depression and Bi-Polar Support Alliance
• Ohio Suicide Prevention Foundation

Alcohol and Drug Addiction Advocacy and Support

• Akron AA Intergroup
• Medina County Alcoholics Anonymous
• Medina County Narcotics Anonymous
• American Psychological Association
• Substance Abuse and Mental Health Services Administration
• Ohio Department of Mental Health and Addiction Services

Other Useful Community Resources

• Medina County ADAMH Board
• Medina County Department of Job and Family Services
• Medina County Health Department
• Medina County Family First Council
• Cathy’s House (Recovery Housing)