How to Make a Referral

Referring to Jump Into Action Health & Wellness is simple and secure. We partner with therapists, providers, and community organizations to support individuals who may benefit from psychiatric rehabilitation services.

Referrals can be submitted directly through our referral form. Once received, our team will review the information and follow up to discuss eligibility, next steps, and coordination of care.

Referral Process

1. Complete the Referral Form Below

Provide basic information about the individual being referred and the services requested.

2. Our Team Reviews the Referral

We assess eligibility and determine appropriate next steps.

3. Follow-Up & Coordination

Our team will contact the referring provider to coordinate services and discuss enrollment.

For therapists, providers, and community partners, please use the provider referral form below.

PRP REFERRAL FORM

Individuals and families may use the general inquiry option.

GENERAL INQUIRY