Discharge Letter to Parents
Click Here!
Intake Packet URL
(This link can be clicked directly or copied and pasted into an email. Send this to 18-year-old students if they still need to
complete paperwork)
https://intakeq.com/new/xk7H2r
Informed Consent Only
(NCCC Counselors - use this when you see an 18-year-old for the first time and they have not completed paperwork
yet)
https://intakeq.com/new/62zlur/YDQUfp
Contact Update Form
(NCCC Counselors - use this when you are seeing a RETURNING STUDENT from the previous school year for the first time, AND they want to
continue being seen for counseling. They must fill this out so we make sure we have updated contact information)
https://intakeq.com/new/62zlur/jxniRg
Ask Suicide-Screening Questions (ASQ) Screening Tool
https://intakeq.com/new/ZVrSYg
Letter of Intent (completed by parent/guardian when they are transporting a student to the
Emergency Room)
https://intakeq.com/new/62zlur/47vOAU
Student Intake/Followup Questionnaires (For School Counselor Use - NOT NCCC
Counselors)
For Students age 7-10:
the Mood and Feelings Questionnaire
For Students age 11-17:
Severity Measures for Depression and Generalized Anxiety Disorder
For Students 18 and
over: PHQ-9 and GAD-7
Electronic Version of Intake/Follow-up Questionnaire - all
ages
Information Sent to Families by New Creation Intake Department
Handouts for School Counselors to Send Home to Parents
Covington
Miami
East
Tipp
City
Upper Valley Career
Center
Bradford
ESC
NCCC Counselor Emails
Sarah Chaney - schaney@ginghamsburg.org (Primary contact for NEXUS questions)
Becky Gruber – bgruber@ginghamsburg.org (Tipp City,
Miami East, NEXUS Program Director)
Peter Miller - pmiller@ginghamsburg.org (UVCC)
Charlotte Wells – cwells@ginghamsburg.org (Covington, Bradford)
Elizabeth Sweeney - esweeney@ginghamsburg.org (Tipp
City)
Karlie Stevens - kstevens@ginghamsburg.org (Miami
East)
Covington School Emails
Karen Brackman (school liaison) - brackmank@covingtonk12.org
Jim Meyer - meyerj@covingtonk12.org
Miami East School Emails
Danielle Dillon - ddillon@miamieast.k12.oh.us
Matt Rutledge - mrutledge@miamieast.k12.oh.us
Stacy Byrne - sbyrne@miamieast.k12.oh.us
Tipp City School Emails
Christine Schmidt (school liaison), Tipp High School - cschmidt@tippcity.k12.oh.us
Rachel Everhart, Tipp High School - reverhart@tippcity.k12.oh.us
Veronica Hlavac, Tipp High School - vhlavac@tippcity.k12.oh.us
Upper Valley Career Center Emails
Erin McGarahan (school liaison) - mcgaharane@uppervalleycc.org
Lindsey Reithman - riethmanl@uppervalleycc.org
Kendra Wenning - wenningk@uppervalleycc.org
Kelty Inman - inmank@uppervalleycc.org
Bradford School Emails
Wendy Ray - wray@bradford.k12.oh.us
Karen Gehret - kgehret@bradford.k12.oh.us
ESC/Cooperative Learning Center School Emails
Jennifer Holder - jennifer.holder@miami.k12.oh.us
Kristina Shope - kristina.shope@miami.k12.oh.us