Serving Indiana Adolescents Ages 12+
ReViv'd Residential
Get in Touch

Contact & Referrals

Refer a youth or reach out with questions about our services. We're here to help.

Youth Referral

Refer a Youth

If you're a case manager, social worker, or agency partner looking to refer a youth to ReViv'd Residential, please complete the form below. We'll review your referral and follow up within one business day.

Referring Party Information
Referral Details

All information submitted is confidential and will be used solely for the purpose of evaluating the referral and providing services.

General Inquiry

Have Questions?

Whether you're a family member, healthcare provider, or community partner, we'd love to hear from you. Send us a message and we'll get back to you as soon as possible.

Contact Information

Reach Out

402 East Main Street, Fort Wayne, IN 46802
Serving Indiana Adolescents Ages 12+
Office Hours
Monday – Friday, 9:00 AM – 5:00 PM EST

We respond to all inquiries within one business day.

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