Referral

For people who would like to join our community, we can help.

Please contact us or email us at Referrals@ccinconline.com

For referrals to Crossroads’ Psychiatric Rehabilitation Program (Adult or Youth), Healthy Transitions (Young Adult 16-25), Supported Employment (Vocational), or Respite Care, use the Crossroads Community Referral Form.

(Note: Our online referral is encrypted and secure. To save your form entries for later completion, click the save button at the bottom of the form.)

If you prefer not to fill out the online referral, we offer several printable alternatives.