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Hope Hub

hopehub@co.morris.nj.us

973.590.0266

Hope Hub Referral Form

About the Hope Hub:

The Morris County Sheriff’s Office Hope Hub (the “Hub”) is a team of designated staff from community and government agencies that meet weekly to address specific situations regarding clients facing elevated levels of risk, and develop immediate, coordinated and integrated responses through the mobilization of resources.

The Hub is a new way of utilizing and mobilizing resources already in place in different, unified, and dynamic ways to address specific situations of elevated risk before there is an incident that requires emergency response. The Hub does not perform case management. Its purpose is to mitigate risk within 24-48 hours and connect individuals and families to services. Case management functions remain with the most appropriate agency as determined by the Hub table.

The Hope Hub works with families and individuals that are facing complex challenges and may need services from more than one community agency.  We work together to ensure families and individuals are safe, healthy and have the opportunity to thrive.

I would be interested in the following services checked below:

Consent, Waiver and Hold Harmless

By signing below, you consent to the submission of your below-provided personal information, including the facts and circumstances of any particular situation to the Hub and you acknowledge that as a referral service, the Hub does not provide any diagnosis or treatment of any medical or mental health conditions.

You further agree to hold and save the Hub and the County of Morris, including its Commissioners, directors, officials, officers, employees, attorneys, agents and assigns harmless from and against any and all claims of liability, loss, injury, death or damage to your person or property, including attorney’s fees, as a result of or in any way related to any services or referrals provided by the Hub. Representatives from one or more of the above groups may participate in determining the best possible response for your individual or family needs.

Additionally, you agree to maintain a courteous relationship with all Hub staff and affiliates. Any harassing, threatening, or violent behavior will result in your disconnection from Hub services.

Participants in the Hub program are independent medical professionals or service providers who are not employed or supervised by the Hub or the County of Morris. Neither the Hub nor the County of Morris make any representations or guarantees regarding any of the participants in the Hub program.

Full Name

Race/Ethnicity (check all that apply)

Signature

Choose how to sign

Address (last known)

This consent is valid until:

Receipt

You will be provided with a Receipt upon submission.