Screening Request

Your first step in finding out if Rogers Behavioral Health can help is a free screening. This helps us gather information to assess your needs or those of a child, family member or friend. After you submit this screening request form, an intake specialist will call you back as soon as possible to explain the screening process and schedule a telephone screening. Please be assured that your request and screening will be handled in a way that respects your privacy and complies with HIPAA regulations. If you are a healthcare provider who would like to refer a patient, please submit a provider referral.

If this is an emergency, please call 9-1-1 immediately or go to the nearest emergency room.

Required
Required
Required
Required
Required
Required
Required
Required
Required
Required

Riley's Story

When Riley Tino is diagnosed with OCD, it not only affects him but his entire family. The story of the Tinos road to recovery and how mental illness ... Read More

Call 800-767-4411 to request a free screening.