Fillable Digital SSF-4 Form
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Copyright and Limited, Temporary License
Managing Suicidal Risk: Second Edition: A Collaborative Approach is copyrighted under the United States copyright laws. Guilford Publications, Inc. controls that copyright. You may download and print the PDF solely for your own non-commercial use with individual clients. Any other copying, redistribution, retransmission or publication of any downloaded material is strictly prohibited without the express written consent of Guilford Press. Contact permissions@guilford.
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It is highly recommended that you read Managing Suicidal Risk: Second Edition: A Collaborative Approach and complete other elements of CAMS training before using these forms with a client.
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Suicide Treatment & Help in Ohio
Locate a trained CAMS clinician who can help you or your loved one.
Do you have an urgent need?
The providers listed below are not intended for use in urgent health situations. If you are in an urgent crisis needing immediate assistance, call 911 or reach out to National Suicide Prevention’s hotline at 1-800-273-8255 or suicidepreventionlifeline.org .
Muskingum Behavioral Health
Angela Kirker
LISW-S, LICDC
Zanesville, Ohio
akirker@mbhealth.org
Perrysburg Counseling Services, LLC
Derek Lee
LPCC-S
Perrysburg, Ohio
This provider does not accept medicare.
This provider accepts medicaid.
This provider accepts patients under the age of 18 years.
derek@perrysburgcounseling.com
NYAP (National Youth Advocate Program)
Danielle Greiner
LPCC-S
Toledo, Ohio
This provider accepts medicaid.
This provider accepts patients under the age of 18 years.
dgreiner@nyap.org
Bolar Therapy and Consulting Center, LLC
Dr. Eleanor Bolar
LISW-S, LCSW, LICDC, Certified EMDR Therapist
Cincinnati, Ohio
This provider does not accept medicare.
This provider accepts medicaid.
This provider does not accept patients under the age of 18 years.
bolartherapy@hushmail.com
New Horizons Mental Health Services
Justine Simpson
Ed.D, LPCC
Lancanster, Ohio
jsimpson@newhorizonsmentalhealth.org
