St. Vincent Family ServicesMake A Behavioral Health Appointment – Get Help Now from St. Vincent Family Services

Para completar este formulario en español, haga clic aquí.

No time to make an appointment? Bring your child in for same-day access to behavioral health services. Learn more here.

Make an Appointment
Parent or Guardian Name*
Email Address*
Phone Number*
Child Name
Child Date of Birth
MM slash DD slash YYYY
Gender
Street Address
City
State
Zip Code
Are you interested in receiving a CANS assessment to determine your child's eligibility for OhioRISE?
- Yes
- No
Please share any additional relevant information (such as behaviors of the child or history)
Preferred Language*
reCAPTCHA