School-Based Referral Form

This referral form should only be used by school staff to refer students enrolled in schools that participate in the HOST, PATH, and Rise Up School Based Mental Health Programs or the consultation programs at the Community Early Learning Center (including Bridges and Even Start) and UW-Oshkosh Head Start. Referrals for any other service at Catalpa Health should use the Catalpa Health Referral Form . If you have questions about which form to use, please call (920) 750-7088 to discuss.