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Submit Referral
Any of our highly trained staff will be able to answer all of your questions and accept or deny your referral.

Please take a moment to download and  fill out all sections of our referral intake form and email to us at


Please provide copies of child's IEP/ISP, Behavioral Plan, Psychiatric Evaluation, Medical History with a list of all current medication and prescription.


If you have further questions, please feel free to give us call. 

Pathway to Everyday Life Human Services, Inc.

Tel.#: (484) 209-9981 * Fax: (484) 214-0088

Thanks for submitting!


Luzerne County, Hazleton, PA 18201, USA

Tel.: (484) 209- 9981   Fax: (484) 214-0088 

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