Professional Referral Form

If you are a medical professional looking to make a referral to Kempsville Center for Behavioral Health, please complete and submit the form below. A member of our assessment and referral team will respond to you shortly.

A member of our clinical team will call you the business day after this information is received.

If your child or teen is facing difficulties with mental health, Kempsville Center for Behavioral Health may be able to help. Call 757-461-4565 or Contact Us online today for a no-cost, confidential assessment. No referral or emergency room visit is needed. For residential treatment services please contact our KidLink Virginia Care Coordinators at 757-922-3332 today or email us at [email protected].