The Division of Psychiatry at Cincinnati Children’s provides the following information that outlines our residential referral process for patients, family members and healthcare professionals.

If you have questions, contact our residential admission intake coordinator at 513-636-0820.

Initial Referral Information

  • Referral application
  • DAF: current or past documentation (diagnostic assessments, summaries, treatment plans)

Health Related Documentation

  • Psychiatric evaluation
  • Psychological evaluation with IQ
  • Medication history
  • Complete drug / alcohol assessment (within six months if youth is using)
  • Discharge summaries from prior placements / hospitalizations
  • Immunization record / vaccine and health information
  • Most recent physical / dental exam
  • History / evaluation of occupational therapy, physical therapy and speech therapy

Social Service and Legal Documentation

  • Social history
  • Legal history

Educational Documentation

  • Current IEP, MFE, 504 Plan, SBH
  • Statement of special educational needs
  • The home school district is required for payment of residential educational services. Must send a copy of court order if applicable.

Billing Information

  • Funding source (agency contact, Medicaid, insurance)
  • All insurance / Medicaid information (photocopy of front and back of card)
  • Copy of your last paycheck stub
  • Copy of your unemployment check, child support or alimony check
  • Copy of any other official government or income from (SSI, etc)
  • Number of dependents