To Make a Referral for Therapeutic Foster Care

DHS BRS Referrals: Complete and Fax the CF6713 Behavioral Rehabilitation Services Authorization & Referral to the Referral Intake Specialist (See Contact Below).

This is a DHS form and is not provided by Maple Star Oregon.

Referral Contact

Charlotte Steere, Referral Intake Specialist
Phone: 503-290-1921
Referral Fax Line: 503-290-1920