Want to submit a referral?

Steps to complete the referral:

• Download the Referral form below (See attached PDF file below)
• Fill in the form, either print it out and fill it in or complete it digitally.
• Send in the form: Either postage, or email it to us.

Download the file below

You can send the form to:

What is ARMH referral form?

An ARMHS Referral Form is a document used to refer individuals for Adult Rehabilitative Mental Health Services (ARMHS). ARMHS is a mental health service designed to help adults with serious mental illnesses develop and maintain skills necessary for independent living, social interactions, and overall well-being.

Key Information in an ARMHS Referral Form

• ‍Client Information (Name, DOB, Address, Contact Info)
• Diagnosis & Mental Health History
• Current Symptoms & Functional Impairments
• Reason for Referral (e.g., struggles with daily living, social skills, housing, medication management)
• Referring Provider Information (e.g., doctor, therapist, case manager)
• Insurance Information (to determine eligibility for coverage)

Key Information in an ARMHS Referral Form

Once submitted, the referral is reviewed by the ARMHS provider. If the individual qualifies, they will be assigned a mental health practitioner who will work with them on personalized rehabilitation goals.