Board of Health

Healthy Lifestyle

Health Commissioner

Health Department

General Information

THRIVE CRC Referral Form

THRIVE Community Resource Connector (CRC) Referral Form

stark county thrive logo canton city public health thrive logo

Stark County THRIVE

Referrer Information

Referred by:
- If 'Self' is checked, skip to Client Information below




Client Information






Due Date is required if answer is 'Yes'.

* Required

Stark County THRIVE will contact you within 48 hours.

330.575.4778
www.CantonHealth.org