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