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.
Beaver Office
Maura Snyder – 724-236-9018
Fax - 878-201-3531
Leechburg Office
Daniel Holland – 724-236-9007
Regina Shoup – 724-236-9008
Fax – 724-845-0923
Indiana Office
Autumn Craft – 724-236-9019
Fax – 724-471-2668
Peer Support Program Instructions
Please contact one of our peer supervisors listed below.
Kittanning Office
Brian Dilick – 724-236-9010
Roxanne Bittinger – 724-236-9012
Fax – 724-919-8412
Indiana Office
Rochelle Hurd – 724-236-9016
Fax – 724-465-2088