Referral & Admission Forms

External Provider Referral Form (for referring providers only)
TMS External Provider Referral Form (for referring providers only)
Child Residential Services Referral Form
Specialty Medication Clinic - External Referral Form
Patient/Self-Referral Form

Levels of Care at the Brattleboro Retreat

To coordinate a referral or admission please contact a Retreat representative in our Admissions department at 802-258-3700. You can also dial 800-RETREAT [738-7328] for a recorded list of choices that point to different departments within the Retreat. We have also provided some useful forms below to help you get started.


The Brattleboro Retreat has a total of five inpatient units, each designed to serve various populations of children, adolescents, and adults. For more information visit our programs page.

Partial Hospital (PHP) & Intensive Outpatient (IOP)
  • Our new "Virtual" IOP & PHP Program was launched in response to the COVID-19 pandemic to help adults continue their recovery from psychiatric and/or addiction issues via teleconference technology such as Zoom.
  • The Healthcare Professionals & First Responders PHP/IOP offers specialized treatment in a group therapy format—caregivers caring exclusively for other caregivers who struggle with depression, anxiety, stress, or substance use disorder as a consequence of their professional experiences.


Residential (Child Only)
Outpatient Counseling

The Retreat offers outpatient services through The Anna Marsh Clinic.

Impaired Driver Rehabilitation Program (IDRP)

Follow this link to learn about our Impaired Driver Rehabilitation Program (IDRP).