New Client Forms

Privacy Practices
Client Rights
Client Rights (Spanish)
Informed Consent
Face Sheet & Informed Consent (Spanish)
Release of Information
Televideo Consent
Electronic Communication Consent
Face Sheet
Adult Intake Assessment
Child Intake Assessment
Chemical Abuse Intake Assessment
Adult Intake Packet
Child Intake Packet
Chemical Abuse Intake Packet

The MISSION of the Southeast Kansas Mental Health Center is to provide, advocate, and coordinate quality mental health care, services, and programs for people in its service area.

Our VISION is to improve the quality of life in Southeast Kansas.