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

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.