REFERRAL SERVICES


SIGN UP TO RECEIVE SERVICES

GYG provides services that include but are not limited to crisis treatment, individual and family counseling, communication skills for appropriate problem solving, anger management, interpersonal interaction, case management activities, educational assistance, out-patient clinical services as well as coordination with other involved services and 24-hour emergency response. Please complete the following form to request services: 

ONLINE REFERRAL FORM




DOWNLOAD REFERRAL FORMS

Referrals may be made to GYG Mental Health Agency by calling our intake staff at (757) 595-8008 or by faxing a copy of the Referral Form to (757) 595-8002.  Download a copy of this form by clicking on the link below:

GYG Referral Form (Word Format)

GYG Referral Form (PDF Format)