Growing Minds Intake

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Preferred Contact Method

Please select... Phone Email

Purpose of inquiry:

Please select... Child social-emotional concerns Child behavioral or developmental concerns Emotional well-being of teachers and caregivers Partnering with families Child Specific Challenge Classroom Challenge Family Challenge Generalized Support Needed/Other

How Did You Hear About Help Me Grow Alaska?

Please select... Community agency Health care provider Friend or family member Developmental screening event or activity Mental health provider Early care and education provider School district Early intervention provider HMG outreach (mailing, website, Facebook) HMG outreach event 211 thread Referral Call Community Event (baby fair, community baby shower, health fair) Received services previously Internet Search Prefer not to answer Other

Eligibility Questions

Are you a provider (e.g., medical, mental health, childcare, early childhood education)?

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Is this a crisis?

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Call 911

Do you currently have access to Infant Early Childhood Mental Health consultation or support from another source?

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Are you calling about a specific child?

YesNo

Has the child started K-12 school?

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Do you work with children who have not yet started K-12 school?

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