Patient Referrals

At 4C Health we are committed to ensuring ease of referrals from local community partners

Are you a probation officer or community corrections staff needing to make a referral? Please send your inquiry or referral to criminaljustice@fourcounty.org

Referrals from the Department of Child Services are submitted through theKidsTrakstate database. Please send any questions to DCSreferral@fourcounty.com

Primary Care Provider Referrals

Criminal Justice Referral

SMART Jr. Linkage Form

School-based services referral form

Braun Referral Form

Self-referral