School staff are encouraged to use the form below to make referrals for School-Based Outpatient Therapy. Please be sure to follow your school’s protocol for making referrals. Questions regarding availability should be directed to our Intake Coordinator, Wanda Koontz –, (717) 422-6440 option 8. Custody orders and signed release of information forms can be faxed to (717) 620-0536.

Here are informational letters you can share with families who are referred for school-based: