Refer online
The fastest way to reach our intake team.
- Your information
- Person being referred
- Services and funding
- Urgency and consent
Make a referral
Refer a child, teen, or adult in Utah or Nevada. Our intake team takes it from there.
Ways to refer
The fastest way to reach our intake team.

Print, fill in, and fax.
If someone is in danger right now, call 911. For a mental health crisis, call or text 988.
What happens next
Use the online form or the referral sheet, or call, text, or fax our intake team.
Our intake team checks benefits, network status, and any authorization the service needs.
We contact the family and the referrer to review fit, location, and next steps.
Referral guides
Clinic lines
Used only to sort this list. Never stored.
9 locations shown
Every listed location includes a direct phone contact.
Charleston scheduling: (702) 637-1255