Please follow the steps below to report EMT events in CIMOR. After the form is completed, submit the form via encrypted email to the appropriate Regional Community Operations staff listed below.
Step 1: Download the Form
Please download and complete the: CIMOR EMT Event Report Form.
Step 2: Review Instructions
Please download and review the: CIMOR EMT Event Report Form Instructions before submission.
Step 3: Submit Your Report
Select from the appropriate Regional Community Operations staff listed below and email the document via encrypted email for submission.
- Adult Community Operations Staff
Eastern Region
Bobbi Summers
Department of Mental Health/Division of Behavioral Health
1101 Weber Road
Farmington, MO 63640
Phone: 573-218-7141Metro East Region
Kelly Orr
Department of Mental Health/Division of Behavioral Health
5400 Arsenal Street
St. Louis, MO 63139
Phone: (314) 877-0378Northwest Region
Lauren Quint, LPC
Department of Mental Health/Division of Behavioral Health
Phone: (816)-482-5793Southwest Region
Moriah Taylor
Department of Mental Health/Division of Behavioral Health
2600 E. 12th Street
Kansas City, MO 64127
Phone: (816) 482-5725- Children's Community Operations
Eastern Region
Angella Wadlow
Department of Mental Health/Division of Behavioral Health
1101 Weber Road, Suite 106
Farmington, MO 63640
Phone: (573) 218-6889 / Fax: 573-218-6773Metro East Region
Vacancy
Northwest Region
Jennifer L'Heureux
Department of Mental Health/Division of Behavioral Health
2600 E. 12th Street
Kansas City, MO 64127
Phone: (816) 482-5775Southwest Region
Charie Sands
Department of Mental Health/Division of Behavioral Health
2201 N. Elm Street
Nevada, MO 64772
Phone: (417) 448-3456