Alcona Health Center Behavior Health Providers

Service Forms

The Gaylord Youth Support Program provides access to behavioral health therapy for students at Gaylord Intermediate, North Ohio and South Maple Elementary Schools.  It is a collaboration between Alcona Health Center, the Health Department and Gaylord Community Schools.

Click below to view/download the paperwork necessary to begin working with Alcona Health Center Behavioral Health Providers. Please contact the provider at your student's school if you need help completing any of these forms.

PDF DocumentReferral Form  - To make a referral to the program.
PDF DocumentParent/Guardian Consent for Treatment - For parents/guardians to complete.  This form needs to be completed before we can see your child.
PDF DocumentRights and Responsibilities - Important information regarding your participation in therapy services.
PDF DocumentHIPPA  Notice of Privacy Practice - Information regarding privacy of any medical or personal information.
PDF DocumentRelease of Information - Please complete this form to allow us to communicate with other providers, agencies, or individuals that are involved in your student's care.

Alcona Health Department

Stephanie Vanniman

Stephanie is a Licensed Master’s Social Worker.  She earned her Bachelor’s Degree in Social Work from Central Michigan University, and her Master’s Degree in Social Work from Michigan State University.  During her Master’s program, Stephanie had a clinical focus and completed her electives in School Social Work.  She has seven years of experience in child welfare, school, community-based, and clinical settings.  Stephanie has skills in providing individual and group therapy.  She has worked with adults, children, and adolescents with a variety of mental illnesses, including depression, anxiety, post-traumatic stress disorder, personality disorders, and chronic mental illness.  She also has experience working with individuals that have developmental disabilities.

Stephanie has training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavioral Therapy, Eye Movement Desensitization and Reprocessing, and Parent Management Training-Oregon Model.  She is a member of the National Association of Social Workers.  Stephanie strongly believes in the value and potential of each person.  She looks forward to working with the students, staff, and families of Gaylord Community Schools.

Stephanie was born and raised in northern Michigan and continues to live in the area with her family.  She likes spending time with her family, music, reading, sports, and enjoys the outdoors.