Make a Referral

Residential Home Only

If you have a referral you may either call our administrator or complete the form below and submit to us. All information is completely confidential. Use of this referral form is the first step in the process for Second Chance Dayton Group Home to consider your client for our Residential Therapeutic and Behavioral Health Program/Treatment services. Submission of this form will be followed by a phone call.

Take the first step toward healing with confidence and confidentiality

Your journey to a brighter tomorrow starts here

Behavioral Health Only

Our admissions team is skilled in helping families determine what level of care is appropriate for our clients. If you’d like an in-person meeting to determine what level of care is needed; we offer face-to-face assessments at our private clinical office or we will come to you. If you answer yes to any of the questions below, please contact our admissions team at: 1- 937-248-5162 to schedule a free consultation.