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

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.