Referral Forms and Releases


Single Point of Accountability (SPA) Forms

Additional Forms

BCBH Authorization Request Form

Pressley Ridge
Pressley Ridge HIPAA Authorization

Warmline of Beaver County – MHA in Beaver County
The Warmline of Beaver County is a call-in service providing peer support to individuals with mental illness, their families, and friends.  Anyone calling the Warmline will have someone to talk to and have the opportunity to discuss problems and access resources.

Local: 724.775.9507
Toll-Free: 877.775.WARM (9276)
Hours:  365 days per year from 6 p.m. to 9 p.m., including holidays

Warmline Peers – Permission to Contact

Mental Health Association  (MHA)

Need a partner in health and recovery?  Specialized therapeutic interactions are delivered by Certified Peer Specialists (CPS) who are trained to support individuals in their recovery and involvement in the community.

You will need both a Doctor’s Recommendation Form and an Application for Peer Support to apply.  A recent Psychiatric Evaluation is necessary as well, as it speeds up the intake process.

Call  724.775.9507 if you have any questions.

Doctor’s Recommendation for Peer Support Services
Application for Peer Support