Referrals
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Referrals
To ensure your enquiries reach the appropriate care team, please select a referral form below carefully. We look forward to supporting your needs.
General Referrals
For general outpatient mental health enquiries, please complete the below form letting us know some vital information about the intended receiver of support.
Extended School Mental Health Referrals
For institutions needing assistance with ensuring that a comprehensive range of services (assessment, prevention, case management, treatment) are available to youth in regular education. Complete this form to get support.
EIIP Referral
Early Intensive Intervention Program (EIIP) is a 2-4 week program that provides high-impact, school-based behavioral health services with a focus on prevention, early intervention, and intensive treatment; focused on stabilizing acute behavioral health symptoms and transition youth back to school.
PDTP/PHP Referral
Psychiatric Day Treatment Program (PDTP) referrals and Partial Hospitalization Program (PHP) referrals. Provides more intensive care during the day than outpatient therapy but less restrictive than inpatient hospitalization. Designed for people who need more support than outpatient care.
IOP Referral
Intensive Outpatient Program (IOP) For individuals who need a structured, non-residential treatment program that provides more support than traditional outpatient therapy.
Mobile Treatment Services
For individuals who have exhausted traditional forms of outpatient treatment interventions or who have had repeated psychiatric hospitalizations. Complete this form to receive community-based, intensive, outpatient mental health services.
Case Management Referral
For children and Adolescents aged 5-21 with a mental health diagnosis, we provide families with support and access to resources within the community. Complete this form to receive or refer Case Management services.
Adult Case Management
Our Adult Case Management services connect individuals with essential resources and support systems. Our dedicated case managers develop personalized care plans to address unique needs, including mental health support, medical care, housing assistance, and employment opportunities. We aim to foster independence and enhance quality of life by helping clients navigate complex systems and achieve their personal goals.
PRP Referral
Psychiatric Rehabilitation Program (PRP) provides community-based support services focused on building life skills, improving social functioning, and promoting independence.
DDA Referral
For individuals a developmental disability that significantly impacts their daily life activities, requiring ongoing support services and are seeking access to services provided by the Developmental Disabilities Administration (DDA)
Primary Care Referral
Agape Health Systems in a Primary Care facility committed to delivering comprehensive, patient-centered primary care services that support the overall health and well-being of individuals and families in the community. Agape's integrated approach to healthcare focuses on prevention, early intervention, chronic disease management, and coordinated care, ensuring each patient receives personalized treatment tailored to their unique needs.