Referral Process for our Programs



Family-Based Program Instructions


1) Complete Family Based Mental Health Pre-Cert Form. Click here to download the form.
2) Fax the FBMH Pre-Cert Form along with most recent Psychiatric/Psychological Evaluation which recommends “Family Based Mental Health Services”
3) For any additional information or help with the referral process please contact the program managers listed below.

Leechburg Office
Daniel Holland – 724-236-9007
Regina Shoup – 724-236-9008
Fax – 724-845-0923

Indiana Office
Maura Snyder – 724-236-9018
Autumn Craft – 724-236-9019
Fax – 724-465-2088




Peer Support Program Instructions


Please contact one of our peer supervisors listed below.

Kittanning Office
Sherrie Peterson – 724-236-9010
Dan Laughery – 724-236-9011
Bill Baker – 724-236-9012
Fax – 724-919-8412

Indiana Office
Davie Buckingham – 724-236-9015
Rochelle Hurd – 724-236-9016
Fax – 724-465-2088

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