Embark Referral Program

Fill out the form to refer a patient. We appreciate your partnership in supporting preteens, teens, and young adults, ages 12-28, seeking mental and behavioral health care.


  • Wondering what happens with your information?

    IMPORTANT: We take your confidentiality seriously, and we strictly abide by HIPAA regulations and use the information you provide on this web form to find the right program for your loved one. We do not use your information for anything other than placement. Thank you for your interest in Embark. For more information, please see our privacy policy.
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The Referral Process

Here’s what happens after you refer a new family to Embark.

Send Email

We’ll send an email to the family letting them know you referred them to Embark.

Get Notified

You will be notified if the family decides to inquire for full-time or part-time classes at Embark and is approved for enrollment.

New Enrollment

You’ll then be notified after the new student has been accepted for full-time or part-time enrollment with Embark.

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Personalized, One-to-One Treatment

Residential Treatment Options & IOP

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