Forms & Plans

MIND your health...MENTAL HEALTH MATTERS

Mental Health & Recovery Board of Erie & Ottawa Counties

 

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Alcohol and Drug Addiction Community Plan

 

 Forms for Providers

To Download these reports RIGHT click on the Link and Save Target As to your Computer

**** If you open these reports by double clicking on them, you will be asked for a password ****

Agency Quarterly Reports

 

MACSIS MH and ADA Rate Spreadsheet

 

             Provider Staffing Spreadsheet              Provider Staffing Spreadsheet Instructions

 

            Prevention Intervention Report            Prevention Intervention Report Instructions

 

Consultation Report

 

                       Grant Monthly Line Item Expenditure Report     Grant Instructions

 

                               Sliding Fee Scale         Income Determination Guidelines

 

Direct Service Provider Profile

 

Special Enrollment Circumstances

 

Clients Rights & Grievances Report

 

Access Report

 

                        BCS Pseudo Clients        FCH Pseudo Clients        GT Pseudo Clients

 

 


An EEOAA employer and an equal provider of services.

For problems or questions regarding this web contact bethbw@mhrbeo.com
Last updated: 06/24/08.