Making a Referral
Just follow these steps when you want to refer to for cross system care coordination which is the Dawn Project:
- Complete the state “Referral for Child Welfare Services for Marion County” form (IV B Form).
- Under “Provider”, choose “Choices, Inc.”
- Under “Requested Services”, choose “Cross System Care Coordination”
- Complete the Dawn Project “Consent for Services” form
- Complete the Dawn Project “Authorization for Release and Exchange of Information” form.
- Complete the Dawn Project “Referral Form”.
- Attach required documents listed on the referral form (bottom of page
- Fax above documents to 317.202.4203.
Want help filling out the documents? Questions about the Dawn Project or the referral process? Please contact Gina Frajola Doyle or Lisa Session by email or call 317.726.2121.