Partner Agreement

Thank you so much for agreeing to partner with The Washoe County Children’s Mental Health Consortium (WCCMHC). Please complete the form below to finalize your resource directory submission. If you have any questions, please contact the Consortium Chair at wccmhconsortium@gmail.com

By completing this form, you, your agency, or your program will be included in our online Youth and Family Mental Health and Wellness Resource Directory. You may be included, where applicable, on printed flyer resources, in newsletters, and will have opportunities to be highlighted on the WCCMHC Website. Most importantly, you, your agency, or your program will become part of a critical network of connection, information sharing, and support for youth and families in Washoe County.

"*" indicates required fields

Organization or School

Non Profit, Business, Agency, or School Name

Resource Directory Listing Approved*

I have reviewed and approved our listing in the Youth and Family Mental Health and Wellness Resource Directory and will direct any questions to wccmhconsortium@gmail.com

Resource Directory Listing Updates*

I agree that our organization/school will keep our listing current for the benefit of families in Washoe County. We will check in at least quarterly to confirm accuracy and make updates as needed.

Partner Commitment*

Our organization/school is committed to being an active PARTNER of the Washoe County Children’s Mental Health Consortium. We are committed to assuring our programs and services are Trauma Informed; Equitable; Youth focused; Family Centered; Evidence Informed and Theory Based; and contribute to Systemic change and success.

Commitment Goals*

We are committed to goals and objectives that allow us, as community members and WCCMHC partners, to increase youth mental health and well being, including prevention and early intervention efforts.

Communication and Collaboration*

We see the need for increased communication and collaboration so that families have easier access to supports and we can ensure that all youth have access to services across our community.

Main Point of Contact Information

Name*

First Last

Contact Email*

Contact Phone*

Comments & Questions

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Phone

This field is for validation purposes and should be left unchanged.