Health Choices

For Adults

Behavioral Health

  1. ACT Referral Form (PDF)
  2. Core Referral Form (PDF)
  3. Extended Acute Care (PDF)
  4. HealthChoices Housing Referral Form (PDF)

Buprenorphine Coordinator Program

  1. RASE Project Referral Form (PDF)
  2. York Buprenorphine Program Admission Criteria (PDF)
  3. York-Adams Buprenorphine Coordinator Program (PDF)

Recovery Support Services Program

  1. RASE Project Referral Form (PDF)
  2. York Recovery Support Services Program Admission Criteria (PDF)
  3. York Recovery Support Services Program Fact Sheet (PDF)

For Children/Adolescents

Behavioral Health

  1. CRR Room and Board Application (PDF)
  2. Releases for CRR Room and Board (PDF)

Joint Planning Team

  1. Joint Planning Team-Systems of Care Full Referral Form (PDF)