School Partnerships Request Form

School-Based Referral Form

School-Based Therapy is an Embedded Program in certain schools where KESMA Flame Lily has an established and coordinated relationship to provide mental health therapy to students during the school day. If you are looking for Skills Work for the student, please complete the CTSS Referral for Home-Based Services. We only work through schools that are on our list. Referrals can be made by either School Support Staff or a parent/legal guardian.