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Community Therapy Referral

Community therapy helps individuals and families address the effects of trauma, improve stress management skills and reduce or eliminate the need for psychiatric hospitalization. A licensed mental health professional will meet with the child, families, and adults to help them overcome behavioral, emotional, or social problems that interfere with success.

Through therapy, clients experience personal growth and change by identifying old patterns and learning new skills to process current and past circumstances. Common issues we treat include aggression, anxiety, coping with change, depression, foster care and adoption, isolation, poor social skills, stress, and trauma. Learn about our outpatient therapy practice and team on our blog.

What you need to know:

Submit Referral Form

"*" indicates required fields

Type of therapy*
Preferred location*
Type of referral*
Caregiver is aware of the referral

Referred Person Information

Name*
MM slash DD slash YYYY
Preferred contact methods*
Address*

Payment

Payment method*

Guardian Information

Legal guardian*

Preferred Contact Methods (check all that apply)*
Court Ordered

Referral Information

Is the person being referred enrolled with any other Cornerstones of Care programs? If so, which one?*

Type of placement

Reason for Referral: Briefly explain losses, trauma, abuse history, and safety concerns. List behavioral, emotional, and social concerns, hospitalizations, school-related difficulty, and presence of suicidal/ideations.*

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