RAPP Referral Form
Hello and Welcome!~ My name is Taina Madera and I am the RAPP Coordinator at Taft Campus. I provide confidential Individual and Group Counseling. This form is to be used as a referral tool if you would like to receive, or refer someone, for these services. Please fill out the questions below and I look forward to connecting with you soon!

This referral form is not for emergencies. It is only checked during work hours, Tuesday through Friday, 8am-4pm. Referrals submitted over the weekend or holidays will not be received until the next work day. If you are in immediate danger, call 911. If you need to speak with someone immediately or find services, call 1-888-NYC-WELL (1-888-692-9355).

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