Referrals

Note: Contact form inquiries may take up to 48 hours to receive a response. For immediate assistance, please call reception at 509-892-9241. If you are experiencing a behavioral health emergency after business hours, please call 988. If you are experiencing a life-threating behavioral health emergency, please call 911.

Referral/ Request for Information or Services

Name*
First Last
Phone
Email
Referral Type
- I am Self Referring
- I am a Provider Referring Somone
Preferred Method of Contact*
Please be sure and list either a phone or email address above.
- Phone
- Email
What Program are you Most Interested in?*
- General Outpatient Services (GOS)
- Intensive Residential Teams (IRT)
- Wraparound with Intensive Services (WISe)
- Health Home
- Termonn Peer Respite
- Peer Pathfinder
- Peer Bridger
- Substance Use Disorder Treatment
- I'm Not Sure: Please Contact Me
Message
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.