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
Stacy Johnson – 724-236-9018
Fax - 878-201-3531
Leechburg Office
Danielle Klingensmith – 724-236-9007
Fax – 724-845-0923
Indiana Office
Tanya Kvarta – 724-236-9019
Fax – 724-471-2668
Peer Support Program Instructions
Please contact one of our peer supervisors listed below.
Kittanning Office
Joan Moore – 724-236-9010
Fax – 724-919-8412
Indiana Office
Rochelle Hurd – 724-236-9016
Fax – 724-465-2088