How to Submit a Related Services Referral Request

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.

If applicable, enter a priority level for the request from the dropdown menu.

Use the "Type of Request" dropdown menu to select "Therapy"

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.

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.

For the example below, Occupational Therapy (OT) has been selected. Enter the setting and number of minutes per month.

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.