Make a Referral

Fax completed forms to: 844-834-2678

ArkSTART Urgent and Referral Line: (888) 570-2146

Rapid Referral Form

Download Rapid Referral Form to alert ArkSTART about a person with IDD & behavioral health needs who may potentially face a crisis situation without intervention.

Consent for Release of Information

Must be completed before evaluation can begin

Consent for Evaluation and Treatment

Must be completed before evaluation can begin