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Client Forms

BHIS REFERRAL
FORM
Providers outside of Crossroads can refer clients to BHIS.
Click Here

CHANGE PROVIDER
If you're looking to change your Crossroads provider, please submit this form.

JAIL DIVERSION
REFERRAL FORM
Our Jail Diversion program assists inmates with mental health issues, both in jail and in the community.
Financial Forms
Regardless of where you are in your journey, Crossroads offers services to help you reach the next step. Click 'Getting Started' to see everything you need to know before getting treatment.
Financial Assistance Application
Crossroads knows there are times when our clients are unable to pay for the services provided. If you need help paying for behavioral health services, you may be eligible for financial assistance from CBHS.
Financial Assistance
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