Who is eligible?
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Identified youth between the ages of 5-21
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Current resident of NH
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Medicaid NOT required
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Priority given to those currently receiving services, i.e.. counseling, therapy, individualized education plans
How to Refer a youth:
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Review Wraparound Services Overview and Family Guide.
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Complete Referral Form and sign the Authorization form.
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Send Referral to BCBHFASTforwardinquiries@dhhs.nh.gov
Where to send the referral
Completed Referral form and Authorization form can be sent via email or mail, to:
Alli DePuy, Family Student Support Liaison
76 Winter Street, Tilton, NH 03276
(603) 286.7143 ext. 2333