Cobb County Community Services Board
Referral Form
Type of service seeking:
*
Intellectual and/or Developmental Disabilities (IDD)
Behavioral Health: Outpatient Mental Health or Substance Use
Assertive Community Treatment (ACT)
Substance Use Residential (excluding IDD Residential)
Crisis Respite
Intensive Treatment Residential (ITR) **Mental Health ONLY**
Submit
Should be Empty: