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  • This screening will not be read immediately and may take up to two business days for a response. It is not intended to communicate emergency safety concerns. If you are unsafe or in an emergency, please contact 911 or proceed to your nearest emergency room. If you are in Washtenaw County and this is a mental health crisis, another resource is to call the county Crisis Team at  734-544-3050. Additionally, JFS is not licensed to provide substance use therapy.
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  • Permission for Thrive Staff to leave a detailed voicemail?*

  • Date of Birth*
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    2 digit month, 2 digit day, 4 digit year

  • Demographics

    The following questions are for reporting purposes only and in no way impact eligibility for programs. Jewish Family Services provides services for all residents of Washtenaw County. We are committed to providing affordable, accessible, holistically-oriented and culturally sensitive care to our clients, whatever their identification, affiliation, lifestyle, background, race, religious creed, or national origin.
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  • Describe your current needs for Thrive counseling:*

  • Do you have critical or urgent needs in the following areas:*

  • Do you drink alcohol or use drugs regularly*
  • Have you ever felt the need to cut down on your drinking or drug use?*
  • Have you even been annoyed at criticism of your drinking or your drug use?*
  • Have you ever felt guilty about something you've done when drinking or high from drugs?*
  • Have you ever needed a drink or drug use first thing in the morning to control the shakes?*
  • Over the past 2 weeks, how often have you been bothered by any of the following problems: Little interest or pleasure in doing things ?*
  • Over the past 2 weeks, how often have you been bothered by any of the following problems: Feel down, depressed or hopeless ?*
  • Do you currently have insurance coverage?*
  • Effective Date
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    2 digit month, 2 digit day, 4 digit year
  • Do You Have Secondary Insurance?*
  • Subscriber Date of Birth*
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    2 digit month, 2 digit day, 4 digit year
  • Effective Date
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    2 digit month, 2 digit day, 4 digit year

  • Thrive is unable to provide substance abuse treatment.

    Please go to samhsa.gov, findtreatment.gov, or call 1-800-662-HELP (4357) to find resources.

  • Please be aware that JFS is not open 24 hours, hours of operation are Monday-Thursday 9am-5pm, Fridays 9am-3pm and is closed on holidays.  All requests will be responded to on the next business day.  If you are feeling unsafe, thinking of harming yourself or others please call 911 or head to your local emergency department.

    Additional crisis resources include: Washtenaw County Crisis Line (734) 544-3050, Crisis text number (text “HOME” to 741741), Psychiatric Emergency Services (734) 936-5900.

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