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.


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-Conservatorship Program Referral Form (Word)

Virginia Public Guardianship-Conservatorship Program Referral Form  (PDF)

Medical Evaluation Report Form 
Guardianship Client Rights

Parent Aide:

Parent Aide Information
Request Parent Aide

Teen Outreach Program®:

Teen Outreach Permission

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.