Forms

These online forms allow us to collect information securely from you. If you need any assistance filling out the forms, please contact us at 304-425-9541. If you would like to be called for an intake to begin new services, please fill out the intake form at shcmhc.com/new.

Intake

Insurance Card

Upload Documents

Release of Information

Infectious Disease

What is TB, HIV/AIDS The Basics, The ABC's of Viral Hepatitis

Targeted Case Management

Observation

OBMAT

Policies

Provider Zoom Rooms

Title VI Notice: Southern Highlands Community Mental Health Center operates its programs and services without regard to race, color, and national origin in accordance with Title VI of the 1964 Civil Rights Act. To find out more about our nondiscrimination obligations, to file a complaint, or to request this information in another language please contact us at (304)425-9541.
Your Rights Regarding Your Protected Health Information
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