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)

"Thank you Intercept Workers, without you being there to provide a quality service, I could not have assisted my youth. "
— Southwest Virginia Social Worker

Did You Know?

Intercept screens potential employees for integrity, intelligence, honor, passion and innovation