Your bridge to the care you need.
Referrals & Information
Many of our programs require a referral or other registration process to get involved. Below are some of the referral and registration forms for various programs.
MHACG Programs
We go beyond mental health to support with your overall wellbeing. We have services to support survivors of assault, crime and abuse, substance abuse and recovery, supportive residences, respite, mentoring, after school programs, peer support, and strengthening families.
After School Program
-
Download Registration Form, PDF, 182 KB
​
Care Coordination
-
Download Brochure, PDF, 614 KB
-
Download Referral Form, PDF, 129 KB *Updated 9/2024*
​​
Children's Case Management
-
Download Brochure, PDF, 647 KB
-
Download Referral Form, PDF, 90 KB
​
Children & Family Treatment and Support Services (CFTSS)
-
Download Brochure, PDF, 639 KB
-
Download Referral Form, PDF, 83 KB
-
Download LPHA Recommendation Referral Form, PDF, 107 KB
​
CORE Services
-
Download Brochure, PDF, 674 KB
-
Download Referral Form, PDF, 172 KB
​
Mentoring
-
Download Referral Form, PDF, 82 KB
​
Mobile Crisis Assessment Team (MCAT)
Referrals are not required for MCAT services; call 518.943.5555 for assistance. If you would like to refer someone for support or a wellness check you can complete and submit the form below.
​
-
Download Flyer Tear Sheets, PDF, 583 KB
-
Download Referral Form, PDF, 98 KB
​
Personalized Recovery Oriented Services (PROS)
-
Download Brochure, PDF, 501 KB
-
Download Referral Form, PDF, 133 KB
​
REACH Center
Referrals are not required for REACH Center services; call 518.943.4482 for our 24-hour helpline assistance. If you would like to refer someone for support you can complete and submit the form below.
​
-
Download Brochure, PDF, 611 KB
-
Download Referral Form, PDF, 94 KB
​
Residential Services - Supportive Housing
Supportive housing application process is managed through Single Point of Access (SPOA) for both counties. To speak with someone at our facilities for more information or support, please call 518.828.1068.
​
Important: The SPOA application form must be completed for the correct county and sent to that respective agency as outlined in their information. Please do not send to our offices.
​
​
Columbia County:
​
Greene County:
-
Download Referral Form, DOCX (note: due to their DOCX format, link will trigger an automatic download)
​
Respite Services
-
Learn More (program information to come)
-
Download Referral Form, PDF, 151 KB
​
Strengthening Families
-
Download Brochure, PDF, 624 KB
-
Download Brochure, Spanish, PDF, 167 KB
-
Download Referral Form, PDF, 174 KB