Referral Information

How To Make A Referral

Learn More About Referrals

Please share the following information

 

  • Client’s Name
  • Client Date of Birth
  • Your Name
  • Your Contact Phone Number
  • Presenting issue and symptoms the client is experiencing
  • Current Mental Health/Substance Use Disorder treatment providers with whom the client is connected
  • Substance usage (and if client is currently under the influence)
  • Risk of harm to self/others
  • Client’s transportation needs