Behavioral Health Screening Questionnaire

Please know that by completing this form via the Healthy Lee website or without the presence of a Licensed Clinical Social Worker is not a substitute for medical care. If you feel that you may be at risk of harming yourself or others, please call 911 or the Mobile Crisis Unit at (844) 395-4432 immediately. 911 and the Mobile Crisis Unit are available 24/7. NOTE: This is not a staffed site where responses are immediate, please allow at least 72 hours for a response.

Below you can find a screening form to complete, download, and take to a screening area where you can meet with a professional to review the results.