facebook Virginia Enrolled Medicaid Provider
Intercept Youth Services in Richmond, VA

helping youth succeed

Community Homes and BabySteps

804.612.3302 - phone
540.819.4514 - phone
804.474.9997 - fax

To complete the referral below you have two options:

  • Save this document to your computer. When you open the saved file from your computer, you will be able to save your work.
  • Or simply print out and complete it by hand

When the form is complete simply email it to info@interceptyouth.com or fax it to 804.474.9997.

Community Home Referral Application (Word Document)

 BabySteps Referral Application (Word Document)

"“Residents succeed in their programs, and more importantly, residents feel like they can succeed.” "
— Tidewater Area Social Worker

Did You Know?

We are always in need of good foster families.