Refer a Patient: Mental Health Early Intervention Services
To refer a patient to Mental Health Early Intervention Services:
1. Fill out the referral form
Download and complete our mental health and child development referral form. The child's parent or guardian must fill out the release of information / consent for referral portion of the form for us to process the referral.
2. Send it to us
Fax the completed referral form to (510) 985-2202.