Financial Wellness Program 2026-2027

Program you wish to attend:*

November 5th - December 3rd, 2026 (no class on November 26th)

January 7th – 28th, 2027

March 4th – 25th, 2027

Thank you for choosing the Financial Wellness Program at Lake-Geauga Recovery Centers, Inc. The program was designed to help individuals understand fundamental financial literacy through an analysis of income, expenses, budgeting, & banking basics.

Registration deadline is 48 hours before the start day of the program, or when the program is full. Please call to check on program status.
This program is offered at a one-time payment of $50.
You may register online at www.lgrc.us
Classes will take place at 9083 Mentor Avenue, Mentor, Ohio.
Registration is available in person at the above address from 8:00 AM – 8:00 PM Monday through Thursday, and 8:00 AM – 5:00 PM Fridays. Please call in advance to check for holidays or office closings.
Upon receipt of your registration, a confirmation letter containing program date, instructions and guidelines will be mailed to you. At this time, your information maintained by this program is protected by federal laws and regulations as per the Confidentiality/Privacy Rule below.
If you do not receive a confirmation letter, it is your responsibility to notify Lake-Geauga Recovery Centers. Call 440-255-0678 if you have any questions.
If you are referred to this program by an agency, court, employer, etc., it is your responsibility to ensure the program fulfills those requirements.
Once registered and a release of information has been signed to your referral source, that entity will be notified if you do not show for sessions.
Upon completion of all 4 classes, you will receive a certificate of completion.

Name:*

First Last

Address:*

Street Address Address Line 2 City State ZIP Code

Cell Phone:*

Work Phone:

Email Address:*

Date of Birth:*

Gender:*

Male

Female

Referral Source:*

Association:*

Address:*

Street Address Address Line 2 City State ZIP Code

Employer:*

if this information is not available please enter Unknown

Address:*

Street Address Address Line 2 City State ZIP Code

Will This Class be Used to Fulfill Requirements of Court/Probation/Employment/JFS Case Plan?*

Yes

Emergency Contact Name:*

First Last

Relationship:*

Phone:*

Address:*

Street Address Address Line 2 City State ZIP Code

Race:*

Ethnicity:*

Puerto Rican

Mexican

Cuban

Not Hispanic or Latino

Other

Language:*

English

Other

Marital Status:*

Divorced

Married

Single

Widowed

Current Living Status:*

Own Home

Friend or Relative's Home

Supervised Group Living

Other

Education Level: (0 thru 19):*

Please enter a number from 0 to 19.

Veteran:*

Yes

Religion:*

CONFIDENTIALITY/PRIVACY RULE

I understand that my records are protected by federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2 and cannot be disclosed without my written consent unless otherwise provided for in the regulations. Drug abuse patient records are also protected under the Health Insurance Portability Act of 1996 (HIPAA), 45 C.F.R., parts 160 and 164. The HIPAA Privacy rule provides individuals the right to request confidential communications or that a communication of PHI is made by alternative means, such as sending correspondence to the individual’s office instead of the individual’s home. The Privacy rule generally requires healthcare providers to take reasonable steps to limit the use or disclosure of, and request for PHI to the minimum necessary to accomplish the intended purpose. These provisions do not apply to uses or disclosures made pursuant to an authorization requested by an individual.

Contact Number:*

For registration information in the event we need to check information on the registration form.

Financial Literacy Program:

Price:

I, The Undersigned, Have Read, Understand and Agree to Abide by the Above Rules and Certify That All Information Contained in this Form is True and Accurate:*

Yes

Financial Wellness Program 2026-2027

Start Your Journey to Recovery Today

Subscribe to Our Mailing List