What Services Interest Me?

Name: *

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Please check the items below that identify your interest and need for services:

School-to-Work Adjustment    Socialization    Prevocational Skills

Vocational Skills    Specialized Indiviualized Services    Contract Work

Community Activities    Supported Employment     Individual Employment

Recreation    Daily Living Skills    Other

If other, please specify:


Any other questions or concerns?


How Did You Hear About Us?
Newspaper Ad Friend Relative Macomb County Mental Health Word of Mouth Other


     

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