1
Navigate to [https://share.hsforms.com/1pWnNODeDRQ25f-zDRT0R1wd76zl](https://share.hsforms.com/1pWnNODeDRQ25f-zDRT0R1wd76zl)
2
Enter your email address, the student's ID number, and the school name. If you are requesting Face to Face (in person) services, please enter the student's zip code.
3
If applicable, enter a priority level for the request from the dropdown menu.
4
Use the "Type of Request" dropdown menu to select "Therapy"
5
If you have a preference for the vendor and/or therapist to be assigned to the student, please select the vendor from the dropdown menu and/or type the therapist's name in the text field. You can leave these fields blank if you do not have a preference in who the referral is assigned to.
6
Use the Related Services Therapy Type to select the type of service. Remember that if a student requires more than one related service, you will submitted one form for each area. Additional fields will populate relevant to the area selected.
7
For the example below, Occupational Therapy (OT) has been selected. Enter the setting and number of minutes per month.
8
Enter a ticket name according to recommended naming conventions and include any additional details in the ticket description. Then click "Submit." You will receive a confirmation email when your referral has bene received.
