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Restoring Positive Minds, Interactions and Resilience

Donation

Referral Form

We are dedicated to providing a supportive environment for children, adolescents, adults and families. Please submit your referral details, and our team will reach out to discuss how we can best support your journey toward resilience and well-being.

Relationship to Client
Parent
Guardian
Teacher
Other
Youth Birthdate *
Month
Day
Year
Youth's Address

Emergency Contact

01

Initial Contact & Screening

We begin by listening to your concerns and understanding the unique needs for you, a child or love one. Our team conducts a thorough assessment to determine the best path forward.

03

Customized Treatment Plan

Together, we finalize a structured, trauma-informed plan that focuses on healing, resilience, and long-term success. We ensure all family members are involved in the process.

 Referral Process

A clear and gentle path to supporting your child’s emotional growth and resilience.

02

Comprehensive Evaluation

Our clinical team performs a detailed evaluation to identify strengths, challenges, and specific therapeutic goals. This step ensures a personalized treatment plan is developed.

04

Start Your Journey

Once approved, you will begin your journey to success! We provide a seamless transition to a safe, structured environment where growth happens.

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