Who is eligible?

1. Identified youth between the ages of 8-17 

2. Current student of Winnisquam School District 

3. Medicaid Eligible 

How to Refer a youth:

Complete the 1-page referral form: found here

Complete a signed consent

These forms allow us to contact the parent/guardian of the youth and allows our office to gather more information from the agency making the referral. 

 

Where to send the referral

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

Jess Descoteaux, Needs and Eligibility Coordinator

wrapreferral@wrsdsau59.org

76 Winter Street, Tilton, NH 03276

(603) 286.7143 ext. 2719 

© 2017 Winnisquam Office of Student Wellness

Call us:

603-286-7143