Referral

A referral form can be requested by phone, fax, mail or website. All referrals are processed by Karen Baker/Operations Manager.

Here is our referral form.

Here are our Privacy Practices.

Completed applications are reviewed by the director and staff at our weekly staff meetings for acceptance or denial.

We can schedule a consultation with individuals and/or their representatives prior to making a referral to the Chapter. There is no charge for the initial intake process.

*All information is confidential.