Professionals/providers who would like to refer an individual to the CSB should complete and submit two forms by fax to 703-653-6688:
- A & R Instructions.
- An Authorization to Disclose or Request Protected Health Information form.
- CSB Referral Form.
Contact the CSB Entry & Referral office at 703-383-8500 with questions.
Individuals seeking CSB services for mental health or substance disorder issues can learn about emergency services and accessing CSB services when it's not an emergency.
Looking for services for a family member with developmental (including intellectual) disabilities? To learn more about the application process and to schedule an appointment please call 703-324-4400 (TTY 711) to contact an Intake Support Coordinator.
