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.