Professional Referral Form

For DCYF, case managers, healthcare providers, schools, probation, and community agencies referring individuals for confidential in-home substance use counseling, recovery coaching, telehealth, or family support throughout Rhode Island.

A blue hardcover notebook with a white pen on top, placed on a white wooden table, with a cup of coffee in the background.
A suspension bridge, likely the Golden Gate Bridge, during sunset with the sky showing soft clouds and the sun partially below the horizon, casting a warm glow.
Beachside patio with white wicker furniture, overlooking the ocean under a cloudy sky.
A person wearing a black long-sleeve shirt reaching up towards the sky with their hand open, with a background of a cloudy sky and faint tree tops.
Lighthouse on rocky shoreline overlooking the ocean at dusk.