Fillable PDF
Adult Mental Health
For adults beginning or updating outpatient mental health services.
Download packet
Prepare for your appointment
Complete your paperwork before you arrive.
Choose the packet that matches your appointment. You can type into the fillable PDF on a computer, or print it and complete it by hand.
- 1Choose your packet
Select the paperwork that matches your appointment or the instructions you received from SCMHA.
- 2Complete it at home
Type into the PDF on a computer, or print the blank packet and complete it by hand.
- 3Print, sign, and bring it
Hand-sign all required signature lines and bring the completed packet to your appointment.
Fillable PDF
Child Mental Health
For a child or adolescent. A parent or legal guardian should complete the applicable sections.
Download packetFillable PDF
Substance Use Services
For clients beginning or updating substance use assessment or treatment services.
Download packetFillable PDF
Current Client Review
For established clients who were asked by SCMHA staff to complete a periodic review packet.
Download packetHelpful reminder
What else should I bring?
- Photo identification
- Insurance, Medicaid, or Medicare cards
- A current medication list
- Guardianship or custody documents, when applicable
- Your printed and signed paperwork
Not sure which packet you need? Call us at (217) 322-4373 before your appointment.