GetHelpNow Montgomery County - Agency Request Form

Below is a form to request to have an agency added to the GetHelpNow Montgomery County Mobile app. Completing the form does not guarantee the agency will be added to the app. The request will be reviewed by our Treatment Team to determine how it best fits into the app.

Contact Information:

Service Identifiers: Treatment Providers should only select those services listed on their agency OhioMHAS Certification or Licensure certificate

Service NameAdultAdolescentChild
Alcohol and Drug Assessment
Mental Health Assessment
Case Management
Outpatient / Counseling
Crisis Intervention
Forensic Evaluation
Intensive Outpatient
Suboxone Treatment
Vivitrol Treatment
Methadone Treatment
Naloxone / Narcan
Medication Assisted Treatment (MAT)
Psychotropic Medication
Day Treatment
Peer Support
Referral & General Information
Residential Treatment
Foster Care/Adoption
Social/Recreational Services
Medication Drop Box Locations
Support - Pregnant Women
Food Assistance
Suicide Intervention
Suicide Intervention
Support - Domestic Violence
Support - Victim or Witnesses of Felony Offense
Oregon District Tragedy
Support - Transportation
Recovery Housing
Substance Use Disorder Housing
Mental Health Housing
Housing for People with Severe and Persistent Mental Illness
People seeking jobs
Employer Resources