PLEASE READ CAREFULLY BEFORE COMPLETING THE FORM
Referral forms are only necessary if a potential client is being mandated by judicial/court personnel, Friend of the Court (FOC), Department of Health and Human Services (DHHS), an attorney, employer, or other organization requiring PATS’ services.
The referral form can only be filled out by a referring agent. Click here to complete a referral form for a potential client.
If you are seeking services on your own and will not need PATS to communicate with any other agency or organization, you can contact us at 517-323-8149 to enroll.
If you are seeking individual mental health services on your own accord and are not associated with any referring agency now or in the near future please click here.