Please use the form below to refer someone for services with Aurora Mental Health & Recovery – including the Cultural Development & Wellness Center. You may use this form to refer another individual as either a partner agency or someone who knows the individual in another way. Please make sure they are aware you are completing the referral form and are comfortable with their information being provided.
NOTICE: If you do not receive an immediate confirmation of your submission on this page AND an email confirmation to the referring contact's email address within 1 hour, please submit your referral again or call the number for the program you are referring to.
Our care coordination staff will confirm that the referral was received and begin the outreach process. If you have a release of information that the client has completed, please email that to [email protected].
Any questions or concerns can also be directed to [email protected].
If you are interested in Mental Health and/or Substance Use services for yourself, please do NOT fill out this form. Instead, visit Connect to Care (C2C) at Potomac Pavilion, 1290 S. Potomac St., Aurora, CO 80012, or call us at (303) 617-2300.
Asian Pacific Clinic
For assistance with referrals to the Cultural Development & Wellness Center Asian Pacific Clinic, please call (720) 839-0162 or email [email protected].
Refugee & Immigrant Clinic
For assistance with referrals to the Cultural Development & Wellness Center Refugee & Immigrant Clinic, please email [email protected].
Referral Appointment Form
If you are experiencing a mental health crisis, please visit our Crisis Walk-In Clinic located at Potomac Pavilion, 1290 S. Potomac St., Aurora, CO 80012.
Are you feeling overwhelmed and need to talk? Call us at (303) 617-2300, 24/7/365.
