Referrals

We are a 24/7 emergency response service provider and we will make contact with every Referral within 24 hours of receipt of each Referral Form, even on weekends and holidays.

 

Intensive In-Home Services

To Submit a Referral for Intensive In-Home Services:

Please Click Here

Mental Health Skill-Building
Services

To Submit a Referral for Mental Health Skill-Building Services:

Please Click Here

Outpatient Counseling and Therapy Services

To Submit a Referral for Outpatient Counseling and Therapy Services:

Please Click Here

 

Region 4:

• Cities: Richmond, Petersburg, Hopewell and Colonial Heights
•Counties/Towns: Amelia, Ashland, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King and Queen, King William, Louisa, New Kent, Powhatan, Prince George and Sussex • If you do not see your: City, County or Town listed, please contact us directly by phone or email Contact Us • For direct assistance with completing the Intensive In-Home Services Referral Form for Region 4, please contact our Intake Administrator, Ms. Janiya Johnson, LPC-Resident directly at 804-912-4633
 

Region 5:

• Cities: Hampton, Newport News, Chesapeake, Norfolk, Portsmouth, Suffolk, Virginia Beach, Poquoson, Franklin and Williamsburg
• Counties/Towns: Currituck, Gloucester, Isle of Wight, James City, Mathews, Surry, York, Claremont, Dendron, Windsor and Smithfield • If you do not see your: City, County or Town listed, please contact us directly by phone or email Contact Us • For direct assistance with completing the Intensive In-Home or Mental Health Skill-Building Services Referral Form for Region 5, please contact our Intake Administrator, Ms. Ashinna Cole, LPC-Resident directly at 757-570-0863