Referrals

To refer a patient to the residential Dialectical Behavior Therapy program at Midwest Center for Youth & Families, please contact us or fill out the form below.

A teenage girl smiles while spending time in an urban park on a sunny day

Our Intake Department is available Monday through Friday from 8:00 a.m. to 4:30 p.m. CST.

Phone: 888-629-3471
Fax: 219-766-0007
Email: [email protected]

Please dial 911 or go to the nearest emergency room right away if you or a child you’d like to refer is experiencing a crisis.

Name
First Name Last Name
Child's Full Name
First Name Last Name
DOB of Child
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Phone
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Take the First Step

Find out how Dialectical Behavior Therapy (DBT) at Midwest Center for Youth & Families can help your child find hope and healing.

Call 888-629-3471 for a no-cost, confidential assessment. If you or your loved one need immediate medical assistance, contact 911 or seek the nearest emergency room.

Referrals

Take the First Step

Admissions

Help and hope are closer than you think.