Parents or Guardians

Please complete this Intake and Consent Form for children 17 and under.

Clients 18 and Older

Please complete this Intake and Consent Form for clients 18 and above.

Renovare Hope Ministries is not a crisis intervention service and does not provide immediate or emergency support. If you are in crisis, please get in touch with the 9-8-8 Crisis Helpline, call 9-1-1, or visit your nearest emergency department. This form is not monitored in real time, and messages submitted here are reviewed periodically during regular business hours. By submitting this form, you acknowledge and accept that Renovare Hope Minsitries is not responsible for providing crisis intervention or emergency services.

Important Information - Please Read