Our commitment to keeping you safe
We have never taken for granted the sacred trust you place in us to care for your child, and today we are more grateful than ever for that privilege. To learn about all the ways we are working to keep you, your family and our team members safe, visit our COVID-19 updates page.
In order to receive services, you must first be referred by a participating school counselor or primary care provider. Please speak with your child’s school counselor or primary care provider to determine if they are participating in this program. Prior to receiving services, a parent or guardian must complete and submit the appropriate forms below. Once the forms have been received by our team, you will be contacted to set up your child's appointment. If you have questions, please call 844-856-6926.
For families referred by their participating school counselor.
For families referred by their participating primary care provider.
For families who will receive in-person or virtual health therapy services.
Provides consent for individual or family therapy with a licensed behavioral health clinician
To be filled out by all families as needed.
Release of Information: provides consent to share behavioral health information with referral sources or other parties as indicated.