We make good kids better.

Make a Referral

Make a Referral

If you are a parent or guardian, please refer to the Get Help Now form
To learn more about our programs & approach, see our service fact sheet here

  • Referring Agency
  • Please download and attach our Release of Information Form and any additional documents to support your referral* (any information from the child's file, IEP info, behavioral documentation from the school, etc.)

  • Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, ppt, pptx, odt, avi, ogg, m4a, mov, mp3, mp4, mpg, wav, wmv.
  • Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, ppt, pptx, odt, avi, ogg, m4a, mov, mp3, mp4, mpg, wav, wmv.
  • Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, ppt, pptx, odt, avi, ogg, m4a, mov, mp3, mp4, mpg, wav, wmv.
  • Child Information
  • Additional Child Info

For professional referrals, click here to download our referral form. Complete and return by email to [email protected] or fax at (614) 255-5759.

Click here to download our referral form in Spanish.