Telephonic
Activity Log
Consumer Triage Form w/ Columbia
Non-Consumer Triage Form
Medication Request Form
Routine Call Form
Clinical Note
COVID-19 Questionnaire Form
Mobile
Mobile Crisis Evaluation Form w/ Columbia
Unable to Assess Mobile Form
Acknowledgement of Receipt of Notice of Privacy Practices
Mental Health and Substance Abuse Screening Tools Compliance Form
CommuniCare Offices 85 Willow Street, Building A, Suite 3 New Haven, CT 06511 p. (203) 553-7234 f. (203) 553-7239 info@communicare-ct.org
Director of Programs John O’Rourke p. (203) 553-7234 ext. 2016 jorourke@communicare-ct.org
Bettor Choice Outpatient Problem Gambling Treatment John O’Rourke p. (203) 553-7234 ext. 2016 jorourke@communicare-ct.org
SAFE Family Recovery Program Simone Ketchum p. (203) 553-7234 ext. 2011 sketchum@communicare-ct.org
Community Support for Families John O’Rourke p. (203) 553-7234 ext. 2016 jorourke@communicare-ct.org
Latino Behavioral Health Services Sarah Finke, Latino Coordinator p. (203) 483-2630 x1236 sfinke@communicare-ct.org
South Central Crisis Services Jennifer Hagelston, Crisis Coordinator p. (860) 388-7855 jhagelston@communicare-ct.org
All referrals to programs should go through individual agencies, websites are listed below.
BHcare
Bridges Healthcare
Monday and Friday 8:30 am to 5:00 pm
Tuesday through Thursday 8:30 am to 8:00 pm
Crisis Services available after hours.