New Client Forms
New Client Forms
Adult Intake Packet
Child Intake Packet
Chemical Abuse Intake Packet
Release of Information - Mental Health
Release of Information - Chemical Abuse
Client Rights
Client Rights (Spanish)
Electronic Communication Consent
Face Sheet & Informed Consent (Spanish)
Informed Consent
Privacy Practices
Televideo Consent
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.