
Member Enrollment!

Call Us Today and become an
Empowerment Clubhouse Member!
All members must be Marin County residents who are 18 years or older. To begin the application process, you can call the Clubhouse for assistance at (415) 339-2843 or email empowermentclubhouse@marincitycdc.org or complete the following steps:
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Download and fill out a ‘New Member Enrollment’.
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Download and fill out an ‘Authorized Release of Information Form’.
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Download and have your service provider (psychiatrist, case manager, counselor or therapist) complete the ‘Provider form for Member Eligibility’. Your provider must fax this form directly to the MCCDC Operations-Clubhouse at (415) 332-0337 or mail it to
Marin City Community Development Corporation
EMPOWERMENT CLUBHOUSE
441 Drake Avenue
Marin City, CA 94965
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If you haven't already visited the Clubhouse, call (415) 339-2837 to set up a time to have a tour. You can bring your application and authorization forms with you then. If you have already visited the Clubhouse, please mail your completed forms to the address above.
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Once all of your forms have been received, including the Provider Verification, you will be contacted to attend an orientation meeting (providing you have met the eligibility requirements).
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After the orientation meeting, you can start attending all Clubhouse activities!
We look forward to meeting YOU!
Contact Clubhouse for activities
on these major holidays!
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May 30th Memorial Day
July 4th -Independence Day
September 5th Labor Day
October 10th – Columbus Day
December 5th Veterans Day
December 25th–Christmas
"The Empowerment Clubhouse is a program supported by the County of Marin Behavioral Health and Recovery Services (BHRS) using Mental Health Services Act (MHSA) funding."-www.marinbhrs.org

