Referrals

Referrals

Thank you for choosing to refer your client to GRCS. To start the referral process, please complete this form and indicate the service to which you are referring your client.

Classes and groups in the GRCS continuum of services satisfy State of Michigan requirements for court mandated counseling and education.

SA 0410390 | PA 309





CLIENT INFORMATION:

REASON FOR REFERRAL:

Alcohol Highway Safety Education ClassAlternatives to Violence / Domestic Violence (26 weeks)Anger Management GroupDrivers License Assessment (State of MI)Individual Counseling SessionsMarijuana Education ClassNutrition TherapyOpioid / Prescription Drug Education ClassRelapse Prevention GroupRetail Fraud ClassSubstance Abuse Evaluation (non DOT)Substance Abuse GroupOther (Leave as comment below)
REFERRED BY:

Authorize client communication via SMS text message (optional)