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Upcoming Events
Wed, Jun 10Villages at Roll HillCommunity-based pop-up offering family essentials and health resource connections.- Fri, Jul 17Winton TerraceCommunity-based pop-up offering family essentials and health resource connections.
Multiple DatesMon, Aug 03https://us06web.zoom.us/j/83060598785?pwd=XCommunity listening sessions supporting participatory research and shared learning.- Fri, Nov 20Stanley Rowe TowersMobile Community Care Closet pop-up providing essential infant, postpartum, and family support items.
Staff Use OnlyThe Center of EdenUse this as a staff-only form completed during or immediately after a visit.
Community Heart Health Check-InBLACK Rhythm & Blues™ Heart check-inWelcome to the BLACK Rhythm & Blues™ Heart Hub. This brief check-in helps us support maternal and family cardiovascular health. It takes about 1–2 minutes. This is not a medical diagnosis.
Community Mental Health Check-In (PHQ-4)60-second mental health check-in.Welcome. This is a brief mental health check-in. This 4-question screening tool (PHQ-4) helps identify symptoms of anxiety and depression. It takes less than 1 minute to complete. This is not a diagnosis. Your responses are confidential and voluntary.
Date and time is TBDLocation is TBDThis questionnaire asks about experiences that may have occurred before the age of 18. It helps us understand how early experiences may affect health and well-being today.
Date and time is TBDLocation is TBDYou may skip any question you are not comfortable answering. This screening does not replace medical or mental health care.
Date and time is TBDLocation is TBDYou may skip any question you are not comfortable answering. This screening does not replace medical or mental health care.
Date and time is TBDLocation is TBDThis referral event is used to connect families to programs and support services offered through The BLACK Collaborative Inc. By completing this form, families and referring providers can request: Program referrals, Health and wellness assessments, Follow-up support from a Community Health Worker
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