EFS Forms & Referrals
At Eastchester Family Services, your well-being is our priority. Whether you’re seeking mental health support, primary care, or specialized services, taking the first step is simple. Fill out the form below, and a member of our team will connect with you to discuss your needs and guide you toward the right care. Your journey to better health starts today.
EFS: Behavioral Health Intake Form
EFS: Primary Care Intake Form
DFCS: Assessment / Evaluation Request Form
APS Consent Form (English)
APS Consent Form (Espanol)
MUST Ministries Community Clinic Intake Form (English)
MUST Ministries Community Clinic Intake Form (Espanol)
MUST Ministries (Authorized Personnel Only)
PBSA Behavioral Health Referral Form (Authorized Personnel Only)
PBSA Consent Form (English)
PBSA Consent Form (Spanish)
Cartersville City Schools Behavioral Health Referral Form (Authorized Personnel Only)
Marietta City Schools Behavioral Health Referral Form (Authorized Personnel Only)
CARF provides accreditation services worldwide at the request of health and human service providers. Whether you are seeking rehabilitation for a disability, treatment for addiction and substance abuse, home and community services, retirement living, or other health and human services, you can have confidence in your choice. Providers that meet CARF standards have demonstrated their commitment to being among the best available.
