Home
WMCHealth Network
Hospitals
WMCHealth Corporate Site
Westchester Medical Center
Maria Fareri Children's Hospital
Behavioral Health Center
Bon Secours Community Hospital
Good Samaritan Hospital
HealthAlliance
Margaretville Hospital
MidHudson Regional Hospital
St. Anthony Community Hospital
Medical Practices
Advanced Physician Services
Bon Secours Medical Group
Other
Audio Archive
COVID-19 Information
Healthy Communities ACO
Mountainside Residential Care Center
Mount Alverno Center
Schervier Pavilion
SAAVE Victim Advocacy Program (Sexual Assault, Abuse and Victim Empowerment)
New Kingston Location Photo Gallery
Find a Provider
Medical Services
Addiction and Substance Abuse Services
Bridge Back Program
First Step: Substance Abuse Services
Audiology
Birthing Services: The Family Birth Center
Breastfeeding
Educational Classes and Offerings
Hospital Services
Pain Management/Cesarean Delivery/Circumcision
Patient & Hospital Responsibilities
Safe Sleep Education
Security & Safety
Selecting a Doctor
When it's time to come to the hospital
Comprehensive Breast Care Services
Breast Patient Navigation Program
Comprehensive Breast Care Services
Diagnostic Services
COVID-19: Vaccination, Testing and Treatment
Diabetes Education Center
Dialysis Center
Gastrointestinal Services
Colonoscopy
Hospitalist
Infusion Center
Intensive Care Unit
Kingston WoRx Occupational Health Services
Medical Alert Service
Nutrition Services
Oncology Support Program
Celebrate Life! Newsletter
Herbert H. and Sofia P. Reuner Cancer Support House
Linda Young Ovarian Cancer Support Program
OSP Programs, Groups and Events
Palliative Care
Specialty Services
Addiction and Substance Abuse Services
Audiology
Birthing Services: The Family Birth Center
Bridge Back Program
Comprehensive Breast Care Services
COVID-19: Vaccination, Testing and Treatment
Diabetes Education Center
Dialysis Center
Gastrointestinal Services
Hearing and Interpretation Services
Hospitalist – Department of Medicine
Infusion Center
Intensive Care Unit
Kingston WoRx Occupational Health Services
Medical Alert Service
Nutrition Services
Occupational Therapy
Oncology Support Program
Palliative Care
Physical Medicine and Rehabilitation
Physical Therapy
Podiatry
Presurgical Testing
Radiology
Respiratory Care
Senior Living
Sleep Center
Speech Therapy
Surgery
Tobacco Free Action Communities in Ulster, Dutchess and Sullivan
WMCHealth COVID-19 Specimen Collection for Testing
Wound Healing Center
View All Services
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
J
|
K
|
L
|
M
|
N
|
O
|
P
|
Q
|
R
|
S
|
T
|
U
|
V
|
W
|
X
|
Y
|
Z
Podiatry
Presurgical Testing
Radiology
CT Scan
Nuclear Imaging
Ultrasound
X-Rays
Hours
Respiratory Care
Senior Living
Assisted Living
Memory Care
Skilled Nursing
Sleep Center
Surgery
Ambulatory Surgery
Dr. Michael Moscowitz, General Surgeon
Tobacco Free Action Communities in Ulster, Dutchess and Sullivan
WMCHealth COVID-19 Specimen Collection for Testing
WMCHealth Vaccine Information
Wound Healing Center
For Patients and Visitors
For Patients
Billing, Insurance, and Financial Assistance
Financial Assistance
Grateful Patients
Medical Records
Patient Experience
Patient Information
Pay a Bill
Pre-Procedure Information
Spiritual Health Services
Patient Bill of Rights
Hearing and Interpretation Services
Medication Reconciliation
Patient Advocates
Other Resources
For Visitors
Online Gift Shop
Patient Experience
Patient Family Advisory Councils
Send a Care Card
Upcoming Events
HealthAlliance Hospital Visitor Information
Visiting Hours and Guidelines
Ways to Give
Our Foundations
Foundations of WMCHealth
HealthAlliance Foundation
Your Impact
Ways to Help
Events
Business Engagement
About Us
In the News
Contact
HealthAlliance Foundation
Volunteer
Auxiliaries
Contact Us
845.338.2500
About Us
About Us
For Employees
Careers
Give Now
LinkedIn
Instagram
Twitter
YouTube
Facebook
Search
WMCHealth Network
Hospitals
WMCHealth Corporate Site
Westchester Medical Center
Maria Fareri Children's Hospital
Behavioral Health Center
Bon Secours Community Hospital
Good Samaritan Hospital
HealthAlliance
Margaretville Hospital
MidHudson Regional Hospital
St. Anthony Community Hospital
Medical Practices
Advanced Physician Services
Bon Secours Medical Group
Other
Audio Archive
COVID-19 Information
Healthy Communities ACO
Mountainside Residential Care Center
Mount Alverno Center
Schervier Pavilion
SAAVE Victim Advocacy Program (Sexual Assault, Abuse and Victim Empowerment)
New Kingston Location Photo Gallery
Find a Provider
Medical Services
Addiction and Substance Abuse Services
Audiology
Birthing Services: The Family Birth Center
Comprehensive Breast Care Services
COVID-19: Vaccination, Testing and Treatment
Diabetes Education Center
Dialysis Center
Gastrointestinal Services
Hospitalist
Infusion Center
Intensive Care Unit
Kingston WoRx Occupational Health Services
Medical Alert Service
Nutrition Services
Oncology Support Program
Palliative Care
Specialty Services
Addiction and Substance Abuse Services
Audiology
Birthing Services: The Family Birth Center
Bridge Back Program
Comprehensive Breast Care Services
COVID-19: Vaccination, Testing and Treatment
Diabetes Education Center
Dialysis Center
Gastrointestinal Services
Hearing and Interpretation Services
Hospitalist – Department of Medicine
Infusion Center
Intensive Care Unit
Kingston WoRx Occupational Health Services
Medical Alert Service
Nutrition Services
Occupational Therapy
Oncology Support Program
Palliative Care
Physical Medicine and Rehabilitation
Physical Therapy
Podiatry
Presurgical Testing
Radiology
Respiratory Care
Senior Living
Sleep Center
Speech Therapy
Surgery
Tobacco Free Action Communities in Ulster, Dutchess and Sullivan
WMCHealth COVID-19 Specimen Collection for Testing
Wound Healing Center
View All Services
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
J
|
K
|
L
|
M
|
N
|
O
|
P
|
Q
|
R
|
S
|
T
|
U
|
V
|
W
|
X
|
Y
|
Z
Podiatry
Presurgical Testing
Radiology
Respiratory Care
Senior Living
Sleep Center
Surgery
Tobacco Free Action Communities in Ulster, Dutchess and Sullivan
WMCHealth COVID-19 Specimen Collection for Testing
WMCHealth Vaccine Information
Wound Healing Center
For Patients and Visitors
For Patients
Billing, Insurance, and Financial Assistance
Financial Assistance
Grateful Patients
Medical Records
Patient Experience
Patient Information
Pay a Bill
Pre-Procedure Information
Spiritual Health Services
Patient Bill of Rights
Hearing and Interpretation Services
Medication Reconciliation
Patient Advocates
Other Resources
For Visitors
Online Gift Shop
Patient Experience
Patient Family Advisory Councils
Send a Care Card
Upcoming Events
HealthAlliance Hospital Visitor Information
Visiting Hours and Guidelines
Ways to Give
Our Foundations
Foundations of WMCHealth
HealthAlliance Foundation
Your Impact
Ways to Help
Events
Business Engagement
About Us
In the News
Contact
HealthAlliance Foundation
Volunteer
Auxiliaries
Contact Us
Home
»
About Us
»
Community Health
»
Mental Health Awareness Training
»
MHAT Tracking Form
About Us
For The Press
Media Center
Accreditations and Awards
Community Health Needs Assessments and Community Service Plans
Mission and Vision
Our Story
About Us
For The Press
Media Center
Accreditations and Awards
Community Health Needs Assessments and Community Service Plans
Mission and Vision
Our Story
MHAT Tracking Form
Email
*
Your Name
*
Phone
What is your role/position?
Psychiatrist
Psychologist
Counselor
Social Worker
Substance Abuse Provider
Nurse
Pastoral Counselor
Physician
Other
Other
Mental Health Referral Concern
Externalizing Behavior
Internalizing Behavior
Attention Problems
Social Skills difficulties
Academic Problems
Family Problems
Substance Use
Other
Other
Were services provided after referral?
Yes
No
Not Sure
What services were provided
Screening
Assessment
Consultation
Treatment/Intervention
Review
Other
Other
Race
Asian
Black/African American
Caucasian
Hispanic/Latinx
Native American
Pacific Islander
Prefer not to answer
Other
Other
Gender
Female
Male
Transgender
Nonbinary
Prefer not to say
Do not know
Other
Other
Sexual Orientation
Heterosexual
Gay or Lesbian
Prefer not to say
Do not know
Other
Other
Loading...