MHA of Kentucky Louisville Clinic Volunteer Form
Volunteers are needed to participate in the mental health treatment of those without insurance, mainly the working poor. Your active involvement will make a profound and satisfying difference in the lives of those who sincerely want help, have the potential to improve but cannot otherwise afford treatment.

A multi-disciplinary clinic setting is designed to make the volunteer experience enjoyable. Emergency calls will not be part of any obligation and patients will be carefully screened.

The clinic will start seeing patients in Summer 2017 beginning with a once a month treatment schedule. Clinic guidelines can be found at the website freementalhealthclinic.org

Upon completion of this form please send a copy of CV/Resume and a copy of your liability insurance to Bonnie Cook (bcook@mhaky.org).

Please be aware that submitting a volunteer application does not guarantee a volunteer placement.  We do our best to place volunteers as quickly as possible.

The information you include will kept confidential. Thank you for your interest.

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Professional Experience
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Organization Affiliation (if applicable)
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Preferred Patient Population to Work With
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