Service Recipient Information - Referral Forms

Human Supports of Idaho Mental Health Services

Anyone can make a referral to Human Supports of Idaho's Mental Health Treatment Programs by completing our online Intake Questionnaire through the secure portal of our Electronic Medical Record (EMR):

Online Intake Questionnaire for New or Returning Clients

Prior to your first appointment with one of our clinicians, we ask that you please complete our Application for Services online through our client secure portal to our EMR. Please click on the link below and create a user name and password. Once logged on we ask that you please complete the Online Application to the best of your ability. There are a series of questions about your health history and other relevant factors that are important for us to understand before we develop a treatment plan with you. By providing as much of this information before your first appointment, our clinicians will be better able to understand your needs as well as spend more of the first appointment discussing your goals for treatment and how different services may help you meet those goals.


Referrals to any of our programs can also be made over the phone by calling one of our office locations.