Send Referrals

Please contact us and speak with one of our intake coordinator at 651-330-6048 or fax the referral form to 612-367-4218. We can also be reached by email at info@eahsm.org.

Referral Information

    Referral Source

    Client Information

    Client Gender*

    Provider Information

    Previously Received ARMHS?

    Crisis Resources/Suicide:

    If you are in crisis, please call 911 or go to your nearest emergency room for assistance.