ADMISSIONS & REFERRALS

We are requesting that all referrals for our residential programs include the following:

• Signed Release of Information
• Biopsychosocial assessment/Comprehensive assessment
• Complete Blood count
• Insurance information/ Public Assistance or SSD/SSI information
• Medical history
• Medication list
• Microscopic urinalysis
• Physical exam
• PPD (Tuberculosis test)
• Psychiatric history (if applicable)
  

For Children entering the Women and Children’s program, please include the following documents:

• Birth Certificate
• Immunization Records
• Physical
• Social Security Card