Refer A Client
We make it simple to connect individuals and families with quality mental health services. Choose the option that works best for you below.
1. Submit a Referral Form Online
Complete our secure referral form This is the fastest way to get starts.
Our team will review your referral, verify eligibility, and contact client or guardian with 24-48 business ours.
2. Down & Submit a Referral Form
Prefer to complete a form offline?
Download and print the form linked below.
Once completed, submit:
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Email: Intake@edifybehavioral.com
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Fax: 832-218-0204
3. Email a Referral
You may a send referral information directly to our team.
Please include:
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Client Name
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Date of Birth
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Guardian/LAR contract information
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Insurance (if available)
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Reason for referral
Call US!!!
Prefer to speak to someone directly? We're to help
1-877-762-5429
Intake Process
Once we receive your referral:
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Eligibility is verified
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Intake paperwork is completed
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Assessment is scheduled
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Services Begin
Together, we can build a strong community!
Contact us TODAY!
Community Partners
We work with a number of different organizations and agencies to provide mental health services for different populations.
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Homeless Shelters
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Group Homes
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Assisted Living Facilities
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School Based
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Foster Care
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Juvenile Justice System
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Physicians/Providers
