For licensed caseworkers and placement professionals only. Submit a youth's confidential clinical files for admission consideration at Cool Living Quarters.
This is a confidential intake portal. All information submitted here is protected and used solely for placement consideration. Do not share access to this portal with unauthorized individuals. All submissions are reviewed by our clinical intake team within 24 hours.
For general questions, please use our Contact page →
Complete all required fields. You will receive a confirmation with a reference number upon submission. Our clinical intake team will contact you within 24 hours. For urgent placements, please also call (844) 266-5226 after submitting.
This information is critical for clinical intake review and staffing preparation.
Upload any supporting clinical documents. All files are encrypted and accessible only to our clinical intake team.
Drag & drop files here or click to browse
Accepted: PDF, DOC, DOCX, JPG, PNG · Max 25MB per file
Suggested documents: psychological evaluations, psychiatric assessments, prior treatment summaries, court orders, medication lists, IEP/educational records.
By submitting this referral, you confirm all information is accurate and that you are authorized to share it. Our intake team will review your submission and reach out within 24 hours.
Your confidential referral has been received by our clinical intake team.
Please save your reference number above. A member of our team will contact you within 24 hours at the phone number or email provided.
For urgent placements, please also call (844) 266-5226 to speak with our on-call intake coordinator.
Call our intake line directly: (844) 266-5226. Available 24/7 for emergency placement needs.
Contact us to check current bed availability before submitting a formal referral.
Placing agencies and caseworkers are welcome to schedule a home visit before placement.
