Child Referral Application

Choose Mental Health provides mental health answers for children and youth. The referral application below is the next level of care in mental health for children and youth. If you’ve tried local therapists with little or no improvement and think your child is a potential candidate for residential (out-of-home) placement this form is your next step.

IMPORTANT: Not all students will receive a referral due to needs identified. In addition, if you are seeking financial assistance, placement depends on available funds.


Choose Mental Health uses an online referral tool and a team of Independent Educational Consultants to help you find the best options available from Choose Mental Health. For this referral please use the same email address used in the assessment you completed to match the two documents.

Therapeutic Consultants

Choose Mental Health uses independent Educational Consultants who have helped thousands of families like yours find programs that match the needs of your child and family. Therapeutic Consultants are independent advocates for families who will work with you to find answers.

Since Choose Mental Health is not involved in your placement process it is important to understand that this resource is not for every family. At times, there may not be availability for placement, sometimes there is not a good fit. If you need financial assistance, that also needs to be available.

If your situation doesn’t work for residential (move in) placement, next steps are to connect to our online resource library for tips and secrets shared from our network therapists who treat children every day. The online videos, articles and resources are powerful interventions and learning made available to start helping your child today. Also begin your search of potential providers in your community.