Our COVID – 19 Response
We want to remain available to provide all support and treatment services during this time of national crisis, but we also want to balance that with maximizing health and safety for all. Please check back to see the latest updates we have during this very fluid situation.
March 28, 2020
FCMHC Is an essential business and we understand these are trying times. We are here to assist our patients using several forms of electronic communication. Many of our staff will be working from home if at all possible in compliance with the Governor’s orders. We will continue to have screeners at all of our buildings for any staff that can not work from home or patients that have a crisis or emergent situation that needs to enter our facilities. Watch our website, text messages, and/or FB page for updates.
March 19, 2020
Effective March 23, 2020, Four County is observing recommended safety procedures in light of the COVID-19 emergency and limiting the number of people we have in our buildings. We are following guidance from the Centers for Disease Control and the Kansas Department of Health and Environment in an effort to maximize the health and safety of our patients and employees.
We are encouraging patients to “attend” their counseling sessions by phone. Our Mental Health Therapists, Alcohol/Drug Counselors, and Case Managers are prepared to serve you through phone and, in some cases, through video. Our Medical Services team is available both in our offices and by phone during this time.
Entrances to Four County buildings will be limited primarily to the front doors at each location. Screeners will be positioned at or near these entrances and will be screening all who enter. Those experiencing a fever of 100.3 degrees or higher will not be allowed in our building, but encouraged to go home and call the agency instead. Screeners will also ask questions to ensure, as much as possible, that those potentially exposed to the virus not come in.
We will remain available by phone throughout this time and we encourage you to connect with us!
Four County Mental Health Center remains committed to our mission of providing accessible services in partnership with our patients and families and preserving our workforce to continue meeting our communities’ needs. We encourage everyone to take care and be well.
Online Treatment Forms to Review
Documents for All Clients
- Patient Rights and Responsibilities
- HIPAA Notice of Information Practices
- Permission for Initial Assessment and Treatment
- Electronic Communication Agreement
- Financial Agreement
Documents for Mental Health Clients
Documents for Substance Use Clients
- Patient Rights KDADS
- Non-Discrimination Policy
- Confidentiality Policy
- Grievance Policy
- AD – Individual – Release of Information
- AD – Organization – Release of Information
- AD – KDADS and MCOs – Release of Information
- Alcohol and Drug Testing Information
- Program Attendance Policy
- Quitline Fact Sheet
- Pregnancy and Substance Use
- Sexually Transmitted Infections Explanation
- What is Hep C?
- What is Hep C? (Spanish)
- HIV Risk with Substance Use
- TB Risk Assessment Form
- TB Prevention
- AD Acknowledgment Form