Who is eligible?

1. Identified youth between the ages of 8-17 

2. Current student of Winnisquam School District 

3. Medicaid recipient 

How to Refer a youth:

Complete the NH SoC Referral form: found here

Complete a Consent for the Release of Information form: found here

These forms allow us to contact the parent/guardian of the youth, gather more information from the agency making the referral, and collect information needed to determine eligibility.

Where to send the referral

Completed referral and consent form can be sent via email or mail, to: 

Jess Descoteaux, Needs and Eligibility Coordinator


76 Winter Street, Tilton, NH 03276

(603) 286.7143 ext. 2719 

Winnisquam Office of Student Wellness

Call us: