ADMISSIONS & REFERRALS
What you need to send us:
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:
Note: The Women and Children’s Program is temporarily closed. We hope to reopen this program in early 2025.
- Birth Certificate
- Immunization Records
- Physical
- Social Security Card