Referral packet

Assessment referral

If you were referred for an assessment, or need to make an appointment for an assessment, please complete the Referral Packet:

Records release

General records release

General Records Release form to grant the IDRC permission to speak to a lawyer, family member, spouse, or any other party:

48 Hour IDRC

Class conduct agreement

Before you submit

Please include your name, date of birth, and county on every form. If a form asks for your provider’s details, include their name, phone, and email or fax — without it we cannot submit the referral.