Referral Form

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)

Download

We do our best to help YOU find THE RESOURCES YOU NEED:

Medical, Dental & Psychological Services

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Social Opportunities

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Housing

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Financial

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Job Training/Education

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Transportation

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Contact Us

Natalis Outcomes

1821 University Avenue W, Suite #155 Saint Paul, Minnesota 55104, United States

(612) 800-6500 info@natalisoutcomes.org

Hours

Open today

08:00 am – 04:00 pm

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