Referrals

Referrals

Thank you for choosing to refer your client to GTCS. 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 GTCS 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 Class - 1 Session x 4 hrs perAnger Management Group - 4 Sessions x 1.5 hrs perDrivers License Appeal (DLA) AssessmentIndividual Recovery Coaching - 50 min perMarijuana Education Class - 1 Session x 4 hrs perOpioid / Prescription Drug Education Class - 1 Session x 4 hrs perRelapse Prevention Group - 1 Session/Month x 1 hr perRetail Fraud Class - 1 Session x 4 hrs perSubstance Abuse AssessmentSubstance Abuse Group - 4 Sessions x 1.5 hrs per
REFERRED BY:

Authorize client communication via SMS text message (optional)