Referral Form – Old


Mental health counseling, substance abuse counseling, behavioral health services, medication assisted treatment.

Please fill out the Alarus referral form below, or scroll to the bottom of the page for a link to download a PDF of the referral form. If you prefer to fill out the paper version, you can scan and email or fax it to the the Alarus clinic you are interested in connecting with.

Alarus Healthcare, LLC.

Mental health counseling, substance abuse counseling, and behavioral health services

If you need immediate help, please reach out to your local county crisis

Dodge County Human Services – Crisis: (920) 386-3489

Ozaukee County Human Services – Crisis: (262) 284-8200. Suicide Hotline Ph:988

Washington County Human Services – Crisis: (262) 365-6565

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