Youth & Family Services, Inc

Providing Professional Mental Health, Substance Abuse, and Youth Shelter Services to Individuals, Families and Communities

Serving the Adults, Children and Families of Central Maine since 1974

 

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Online Referral Forms

For the following forms please print and fill out, or in some cases you can download and type on your own computer.  You can then mail or fax them to the proper office.  That information can be found Here

Case Management:

Central Enrollment Form in MS word format

Central Enrollment Form in Adobe Reader Format

Family Team:

MS Word Format Referral Form

PDF (Adobe)  Format Referral form

MS Word Program description and criteria

PDF  (Adobe) program description and criteria

Halcyon House:

For additional information or to make a referral, contact Sue Krampert at: (207) 474-8574

Email:  suekrampert@tds.net

Below are copies of our referral form (Forms will open in new window)

Adobe Acrobat Version:

http://www.yfsinc.org/halcyonr.pdf

Microsoft Word Version:

http://www.yfsinc.org/halcyonr.doc

Counseling and Community Services:

MS Word Version

PDF Version

Substance Abuse Services:

MS Word Version

PDF Version

For programs not listed above please go to our Contacts Page for information on how to refer.