Referral Forms


 

CATS REFERRAL:

If you are a DCBS Worker and are making a referral for a family to receive a CATS Assessment, please use this form:  CATS Referral
Keep the completed form in MS Word format and email to CTAC@lsv.uky.edu.
When submitting, please include the Court Order (if applicable), and the Case Summary Face Sheets. 

If you have any questions regarding making a CATS Referral, please call us at 859-218-6901.


CATTTI REFERRAL:

If you are making a referral for a child to receive trauma therapy, please use this form:  CATTTI Referral
Email the completed form to sarah.ascienzo@uky.edu, or fax to 859-543-1121.

If you have any questions regarding making a CATTTI Referral, please call the CATTTI office at 859-218-6956.

 

Early Childhood Mental Health Provider Consultation Referral:

If you are making a referral for an ECMH consultation, please use this form:  ECMH Referral

Securely email the completed form to alwhit4@uky.edu, or fax to 859-543-1121.

If you have any questions regarding making an ECMH Referral, please call the CTAC office at 859-218-6901.