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Client​ Referrals​

If you would like to refer an individual for services provided by RCH, please complete the below listed referral questions. A representative will respond to you within 48 business hours. 
Marital Status
Resides With
Does parent/guardian have legal custody of the child?
Is the client currently in mental health inpatient or outpatient treatment?
The client has been engaged in active docmented outpatient treatment for
In the past three months, how many ER visits has the client had for psychiatric care?
Is the client transitioning from an inpatient day hospital or residential treatment setting to a community setting?
Substance Abuse?
Legal Involvement?
Previous/Current Suicidal Ideation?
Is the client currently taking medication?
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