Mobile Trauma Therapy Agency Referral Form

Are you referring yourself? Please use our self-referral form. For additional information send an email to Caitlyn Lockard: clockard@sarccheals.org

Referral Source Contact Information

Please note: Webforms are not considered confidential communication. Information on this form will be saved on the Community Health Council’s website, and will be sent to both the Director and the Connected Together Coordinator. If confidentiality is a concern, please call Caitlin Lockard at 717-270-6972 x360 to make your referral.