Phone (612) 800-6500 / Fax (612) 800-6501
What can we do to support you?
Automated Submission Form
Use this form for a Direct Application for the Behavioral Health Home Program
If a section is unknown or inaccessible please put a "-" or "N/A"
For a paper copy of the referral form click downloadable form below:
BHH Referral Form (docx)
1600 University Ave West Suite 14, Saint Paul, MN 55104, US
8:00 am – 4:00 pm
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