Parent/Guardian Referral Form
You will need to submit the following information in order to complete the referral form:
- Psychological evaluation dated within the last two years
- Psychiatric evaluation dated within the last 60 days
- Psychosocial/Social History/Family Assessment
- Medical Evaluation/History & Physical with additional information required if the child has a major medical problem
- Recommendation letter from current physician/provider
- IEP (if special ed)
- Current medical insurance card
- Release of Information. To be legal, it must be completed entirety and must contain 2 signatures (parent/guardian or youth and a witness).
Please contact your mental health professional if you need help with this information. You should have these documents ready to upload before proceeding.
Social News
You can help bring hope and healing to the young women supported by Youth Villages in Massachusets by attending and/or sponsoring the Rockin’ for Janie fundraising event in Boston on Oct. 25th at 7 pm. Click here for more info: support.youthvillages.org/event/rockin-for-janie-2019/e242240
Our Wallace group home for girls in Nashville got to walk the Red Carpet at the Nashville Film Festival for the premiere of their original song they created in partnership with Livin’ Reel.
The Nashville Film Festival’s Livin’ Reel project connects local artists with at-risk youth to create an original piece of art. This year, the Wallace girls teamed up with local artists to create an original song called “I Choose” written and recorded by the girls in the home.
This is so awesome. Fantastic job girls❤❤❤❤❤
You girls where made in Gods amazing love
This is amazing!!!!!
Thank you for sharing...there can be joy in choosing to be brave and vulnerable...
This touched my heart! Thank you Youth Villages!
Awesome job!!’
Brought tears to my eyes 💕 I will Always Love My Wallace Wonders
Very nice
Way to go girls!!!!!!
When Michael finds something he enjoys doing or has a goal that he wants to work towards he will work diligently to accomplish it! He loves sports and music, including rap and country. He hopes for a family that enjoys spending time together and will support him in accomplishing his goals for the future. Do you know of a family that’s would the perfect fit for Michael? Click the link in our bio for Michael’s full story and to see other children looking for caring, foster and adoptive homes.
bddy.me/2p9TnBj
Darilyn Espinoza, a former YVLifeSet participant, delivered an amazing, heartfelt speech about how thesupport of every day people gave her the confidence she needed to overcome challenges. You can support amazing young women like Darilyn by attending Rockin’ for Janie on Oct. 25th at the Hard Rock Café in Boston. Purchase your tickets here: support.youthvillages.org/event/rockin-for-janie-2019/e242240
He is amazing 🤗, She is so inspiring 🙏
What an awesome and amazingly strong and inspirational young woman!!!
I am truly overcome with hope and at the end of her story...actual happiness. This testimonial is exactly what Janie’s Fund is about. To think you could help even one person by donating is unreal. It means so much to all of us.
Sweet job guys. Keep up work 💋💋💋
Espectácular, excelente motivo para ayudar haciendo donaciones para personas que realmente lo necesitan!
Can we please have one of these in Australia? 🇦🇺
Cheers to 10 years, Inner Harbour! Today our team at Youth Villages Georgia celebrated the 10 year merger anniversary at Inner Harbour in Douglasville, GA! With the help of a passionate, hardworking staff, we have been able to serve over 3900 youth at this campus!
great job
Y’all are awesome! I love love love ❤️Youth Villages!!!
Fantastic!!
Woohoo!!!
