Refer a Child

The Admissions staff is available to answer your questions, assist with referrals, and provide specific information on The Barry Robinson Center’s programs and services.

Referral sources include:

Parents
Legal Guardians
Probation Officers/ Court Service Units
Social Workers/ Departments of Social Services
School Counselors/ Teachers
CSA/ Family Assessment and Planning Teams
Other Treatment Facilities/ Providers

Referral information is received and reviewed by the Admissions office. A pre-placement interview may be conducted either telephonically or in person to obtain additional information regarding the client’s needs and to provide the client and family with information about The Barry Robinson Center programs. Consideration for Residential Treatment Services is aided by the following documents:

Psychological evaluation/ testing
Social history
IEP/ Educational reports
Most recent physical exam
Other relevant clinical reports from past providers or treatment facilities

Refer a Child to The Barry Robinson Center

Child's Information
Child's Name*
First Last
Date of Birth*
Gender*
Is the Child Currently in Treatment?*
- Yes
- No
If yes, Name of Provider*
Current Placement*
Name of Facility*
Current Medications, if any
What type of care are you seeking? (Select all that apply.)*
- Intensive Outpatient (IOP)
- Residential Treatment
- Substance Abuse
- Other
Referent’s Information
Referent Relationship*
Referent’s Name*
First Last
Referent’s Email*
Referent’s Phone*
Address*
Street Address City State ZIP Code
Type of Insurance*
Please provide a detailed message.*
How did you hear about The Barry Robinson Center?*
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Comments
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TESTIMONIALS

One family's story from crisis to hope. We are your typical American family; happily married parents, four kids, and a dog. In the early weeks of 2016, we found ourselves in a family crisis like none other we had …

What a great performance today by the Voices of Pride! Everyone really enjoyed the singing performance by the children. The BRC children were respectful and helpful to the staff and residents at The Memory Center. …

I just want to let you know how much I appreciate the communication from The Barry Robinson Center. It makes me happy that I am able to feel comfortable calling Rodney and asking these questions, getting his …

I wanted to respond to your email once I arrived home and got situated. I had a wonderful trip. Everything couldn't have gone better if I had planned it. Every interaction that I had with staff, my time with my …

I want to thank you all. I have met a few families at the Ronald McDonald House staying there to tour The Barry Robinson Center and I've told them how amazing you all have been and the amazing difference you've made with …

I am sitting at the airport in Virginia thinking about the wonderful weekend I spent with my daughter. It was not perfect, and started a bit rocky, but the recovery was quick which enabled us to spend some quality time …

We were tremendously impressed and ultimately picked BRC because of your rapid and thorough intake. Thank you so much for all that you do!

I want to thank you for the warm welcome you and your staff gave my family yesterday. The professionalism and understanding of a difficult transition really helped. My family has experienced many such events, and this …

We’ll be there in the morning. Can’t wait to bring our son home!! Thank you so much for everything. I feel like I have my sweet little boy back.

We can't thank you all enough for how seamless you made the whole process. From the moment we started our interactions with BRC we have felt extremely well-cared for and important. We did not feel as though our son was …

My wife and I write this letter of reference for The Barry Robinson Center expressing our complete support for their therapeutic services provided to children and adolescents dealing emotional and mental conditions …

I know our journey is far from over in this battle with mental health, but I am forever grateful to you and your staff for helping us out of crisis mode and giving us hope for a future. I know each employee plays a part …

I wish I knew how to better express my heartfelt gratitude and the indebtedness I feel towards you. You believed in my son when no one else did. You saw the good in him when no one else could see past the outbursts and …

Refer a Child to The Barry Robinson Center

Child's Information

Referent’s Information

TESTIMONIALS

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