MAKE A PAYMENT FOR SERVICES HERE USING THIS SECURE LINK:
See below for contact forms for all programs and services. Medicare/Medicaid and private insurance accepted. For those without coverage, services offered on a sliding-fee scale based on your family’s income and ability to pay. Please contact us with any questions. For a list of outpatient counselors, please visit the Counselors page.
General:
New Client Application
Your Rights As A Client
Application for Fee Subsidy
Authorization to Release Information
En Español:
Aplicación de Cliente Nuevo
Solicitud de Subsidio
Autorización para Divulgar Información
Guardianship/Representative Payee
- Virginia Public Guardianship Program Referral Form (PDF)
- Medical https://fsrv.org/wp-content/uploads/2021/01/FSRV-Public-Guardianship-Conservatorship-Program-Referral-Form.pdfEvaluation Report Form
- Guardianship Client Rights
- Representative Payee Referral Form (PDF)
Parent Aide:
Parent Aide Information
Request Parent Aide
Teen Outreach Program®:
How to Find Us
Family Service is located at 360 Campbell Ave., SW, beside the Roanoke City Police Department. There is a parking garage for clients directly beside the building, which can be accessed from Campbell Ave. The door in the garage leads directly to the lobby. Parking is also available on the street.
Office Hours
Monday-Wednesday 9:00 AM – 8:00 PM
Thursday 9:00 AM – 6:00 PM
Friday 9:00 AM – 5:00 PM
Family Service provides services to people who live or work in the Cities of Roanoke or Salem, the Counties of Bedford, Botetourt, Franklin or Roanoke, and the Town of Vinton.
Patient Portal
Existing clients may access a private site for all personal information by clicking here.
Special thanks to our Presenting Dinner Sponsor for their support of our event on
September 12, 2024:
