2026-27 Behavior/Mental Health Services Referral Form

Thank you for using the Behavior/Mental Health Services online referral form. We are no longer accepting new referrals for the 2025 - 2026 school year. If you have exisiting services, please contact your assigned specialist or Heather Morehouse.

If this is an urgent or unique case, we will review your request on a case by case basis. Please contact Director Dr. Melea Belton for more details.

We look forward to supporting your staff and students in the upcoming 2026 - 2027 school year! Have a great summer!

Referral Information
Participant Information
Student Gender
Does student have either of the following?   (required)
Parent/Guardian Information
Have the parents/guardian of the student been notified?   (required) Help for Have the parents/guardian of the student been notified? Please note...Referrals for youth under the age of 14 will not be processed until parent has been notified of the referral. Our team is unable to "cold call" families.
Please note...Referrals for youth under the age of 14 will not be processed until parent has been notified of the referral. Our team is unable to "cold call" families.
Referral Details
Tentative Referral Services Requested (check all that apply):   (required)
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