Who is eligible?

1. Identified youth between the ages of 5-21

2. Current resident of NH 

3. Medicaid NOT required

4. Priority given to those currently receiving services, i.e.. counseling, therapy, individualized education plans 

How to Refer a youth:

1. Review Wraparound Services Overview and Family Guide.

2. Complete Referral Form and sign the Authorization form.

3. 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

adepuy@wrsdsau59.org

76 Winter Street, Tilton, NH 03276

(603) 286.7143 ext. 2333