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For Professionals

For Professionals

How to Make a Referral

We are pleased to partner with professionals in their efforts to improve the lives of their patients/students/clients by recommending placement in residential care.

In order to expedite the referral process, we ask our referral partners to 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

One Call Is All It Takes

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.