REFERRAL FORMS

Y-US is now using the "Risking Connection" trauma-informed training program for staff through TREATI (Trauma, Research, Education and Training Institute at Klingberg Family Center in New Britain).  Y-US' sole mission is to understand and work with children and youth who have experienced abuse and trauma.

Fee For Service Program

Click Here to Fill Out the Y-US Universal Referral Form Online,
or Download the Following Fee-For-Service Forms:

• DCF Fee-for-Service Program Overview (151K PDF)
• Summer 2011 Program Flyer (323K PDF)
• Y-US Fee-For-Service Universal Referral Form (103K PDF)

Referral forms may be sent to: Y-US Program Coordinator, fax 860-951-7269.

Questions may be directed to:
Krista Gale

Fee For Service Program Coordinator
860-951-7268, extension 105

NOTE: The DCF Credentialing of afterschool Fee For Service providers is now in effect. The Fee Schedule is on the ABH website.  Y-US is utilizing the "traditional" fee structure (not the higher cost "clinical" fee schedule).

Better Horizons Program

• Better Horizons Referral Form (103K PDF)

General Qualifiers:

• Child must reside in the southern half of Hartford
• Child must have experienced some form of trauma
• Child can be male or female
• Child must live in a biological or adoptive home; no foster care allowed
• Child may be between 8-13 years of age upon intake; may stay through 16 years old

Referral form may be sent to Y-US Program Coordinator, fax 860-951-7269

Questions may be directed to:

Santos Vazquez
Better Horizons Program Coordinator
860-951-7268, xt. 104

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