Please use the form below to refer someone for services with Aurora Mental Health. Whether you are referring the individual as a partner agency, or know the individual in another way, this form can be used. Before completing the form, please talk with the person about the referral, ensuring they are aware you are completing the referral form and are comfortable with their information being provided.

Our care coordination staff will confirm that the referral was received and then begin the outreach process. If you do have a release of information that the client has completed, please email that to carecoordination@aumhc.org.

Any questions or concerns can also be directed to carecoordination@aumhc.org.

Referral Appointment Form

A form for an individual other than a client to refer to AuMHC.