Funding

Funding is provided in whole or in part by the Department of Human Services Office of Alcoholism and Substance Abuse, and Office of Mental Health. Some funding sources may limit the services we can provide, as the focus in our Mental Health programs is treatment of people who have a history of chronic mental illness. Whether or not you receive services from the Health Department, you maybe be interested in local support groups and resources.

Fees are partially covered by Medicaid, Medicare, or insurance, and a sliding fee scale will be used based on individual circumstances. Payment of your portion of the fee is required at time of service.

What to Bring to Your First Appointment

Bringing proof of income to your first appointment is required to qualify for services. Proof of income can be various things, such as a Medicare or Medicaid card, insurance card, two pay stubs from employment, child support, TANF letter, etc. To make your first visit shorter, please review the following information on forms.

Forms

Please fill out as much of these forms as you can, sign and bring to your first appointment. By bringing these completed forms to your first appointment, it could save you as much as 15 to 20 minutes of waiting time.

• Client Consent for Treatment - English (PDF)
• Client Consent for Treatment - Spanish (PDF)
• Health Screening Form (PDF)
• Insurance Coverage Form (PDF) (for insured, Medicaid or Medicare patients)
• New Client Registration Form or Existing Client Registration Form (PDF)

These forms explain your rights when you receive Behavioral Health treatment and authorize the release of protected healthcare information and can be used to request that a copy of your treatment records be sent to another agency. Please fill out as many of the details as you can, such as the other agency name, contact person, and phone/fax numbers. It is best not to sign these forms until you come to our clinic so staff can witness your signature.

• Client Rights - English (PDF)
• Client Rights - Spanish (PDF)
• Authorization for Release of Protected Healthcare Information - English (PDF)
• Authorization for Release of Protected Healthcare Information - Spanish (PDF)

Training Opportunities

Mental Health First Aid Training

The Lake County Health Department provides Mental Health First Aid training classes that teach you how to help someone who is developing a mental health problem or experiencing a mental health or substance use crisis. The free courses are scheduled across Lake County and are offered in English and Spanish. Learn more about Mental Health First Aid, view upcoming classes and register now www.mentalhealth.today

More Information

For more information, or to express a concern about services received, please call us at 847-377-8180 or send an email. If after contacting us, you do not feel that your concerns regarding treatment services have been sufficiently addressed, you may contact the Joint Commission on Accreditation of Healthcare Organizations at 800-994-6610 or via email.