Lighthouse Behavioral Health And Wellness Center

Referrals 

Need to book an appointment? If you need to request a referral or require assistance in securing one, let us help. Select the appropriate form below, submit to us.
Contact Us
Behavioral Health Referral
Referral Form

PDF | DOC
Project Aspiration Lighthouse
Project Aspiration Referral Form

PDF | DOC

Support Groups
Group Referra Form
Psychiatric Day Program
Psychiatric Day Program Referral
Psychiatric Day Program Referral Form
Submit a Referral by Email:

Download the Word Document or Print the PDF, fill out and scan or email back to : Referrals@lbhwc.com

Submit a Referral by Fax:

Download the Word Document or Print the PDF, fill out and Fax to: 617-910-9784

To Request a Referral by Phone: 617-910-9605