Self-Referral

If you are a family member, friend or previous FirstLight client, please complete the self-referral form, and a member of our clinical services team will contact you directly

Submit Self-Referral
Frontline Professional Referral

If you are a frontline professional submitting a referral on behalf of a client, please complete the Frontline Professional Referral form, and a member of our clinical services team will contact you directly

Submit Frontline Professional Referral