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2. Since 2024, the Town has employed a social worker to help address the complex social issues faced by residents, including mental health crises, substance abuse, domestic violence, and homelessness (working to enhance community safety and well-being while promoting equitable access to resources and services).

   If you are interested in seeking services or a referral for services for yourself or someone else, please use the form below.

   For additional information on types of resources that are available, we have an online Community Referrals Guide available at https://www.townofmccandless.org/DocumentCenter/View/1182/Social-Work-Community-Referrals-Guide. 

   Confidentiality Notice: This form is confidential and will be sent directly to our social worker. This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, forwarding, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

4. Name*
6. Address*
8. Phone number*
10. Email address*
12. Presenting problem*

    Briefly describe the issues or areas of concern you are reaching out about

14. Is this referral for yourself or another person?*

    1. Myself
    2. Another person
16. If it is for another person, what is your relationship to that person?
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field