Copper Hills Youth Center happily accepts patient referrals from medical professionals. We ask that in order to expedite the referral process to Copper Hills Youth Center, our referring partners please include the following:

• Referral source contact information
• Insurance/Funding information
• Medical issues
• Recent psychiatric evaluation
• Psychological testing
• IEP documentation
• Treatment plan from current placement
• Discharge summaries from prior treatment
• Other relevant information to determine eligibility

Make a Referral

In order to expedite the referral process to Copper Hills Youth Center, please include the following:

• Referral source contact information
• Insurance/Funding information
• Medical issues
• Recent psychiatric evaluation
• Psychological testing
• IEP documentation
• Treatment plan from current placement
• Discharge summaries from prior treatment
• Other relevant information to determine eligibility

The referral packet may be emailed to our Admissions department at [email protected] or faxed to: 801-214-2931.

Referral Packet

Referral Packet Checklist
ICPC Form

If your adolescent is struggling with a primary psychiatric disorder, including autism spectrum disorder, treatment at Copper Hills Youth Center could help change their lives. Don’t wait, call 800-776-7116 today.