Start a Referral

Referrals are welcome from families, individuals, schools, agencies, courts, hospitals, and community partners. We review every request to identify the right next step.

What to Expect

Quick Review

We review referrals within 1–2 business days.

We’ll Call You

A team member will reach out to schedule intake.

Secure Intake

Clinical details are collected safely, not here.

Please share only basic contact and routing information here. Do not include diagnoses, detailed symptoms, trauma details, medication lists, Medicaid IDs, or social security numbers in this form. We'll collect any clinical information through our secure intake process after we connect.

Referral Form

SMS / Text Message Consent (Optional)

If you provide a phone number and opt in on the form above, you agree to receive text messages from Foundations To Success related to your inquiry, referral, appointment reminders, care coordination updates, and follow-up support. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out. Reply HELP for help. Consent is not a condition of receiving services.

We do not sell or share SMS opt-in information with third parties for marketing purposes.

See our Privacy Policy and Terms & Conditions.

Not for emergencies — call 911 or text 988 in a crisis.
If this is a life-threatening emergency, call 911. If you or someone you know is in emotional crisis, call or text 988.

✦ Let's Connect ✦

Ready to Take the First Step?

Have questions before submitting? Our team is here to help you every step of the way.