Our referral forms are now available online for your convenience.  All of our forms are universal between Menomonie, Amery, and River Falls.

Referral Forms

Group home referral 2014 (.doc) / Group home referral 2014 (.pdf)

Voluntary-Placement-Agreement (.pdf)

Parent Intake Forms (.zip file)

Parents of Wood County residents will also need to fill out a Release of Information form specific to Wood County.  All other paperwork is the same between all of the houses:

Wood Co Release of Information (pdf only)

For more information, please contact one of our group home Program Coordinators: Chelsi Lauer in Menomonie, Andy Altmann in River Falls, Laura Clark in Amery, or Jodie Vena in Wood County.  For Day Supervision information, please contact the Intervention Services Program Coordinator, Amanda Schutte.