Professionals/providers who would like to refer an individual to the CSB should complete and submit the online CSB Referral Form.

The CSB cannot release any information about individuals receiving services unless a signed Authorization to Disclose or Request Protected Health Information form (Spanish language version also available) is in place allowing that exchange of information.

• Online Forms:

  • CSB Referral Form

  • Authorization to Disclose or Request Protected Health Information (in English)

  • Autorización para divulgar o solicitar información médica protegida (en Español)

Contact the CSB Entry and Referral call center at 703-383-8503 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.