OHTP Referral & Linkage Form

The Ohio Healthy Transition Program (OHTP) Referral and Linkage Form was created with the goal of capturing more detail and information on referrals being made from OHTP to external organizations and partners in Northeast Ohio. Internally the OHTP Evaluation Workgroup needed a way to capture which specific organizations that OHTP staff members were utilizing when they made referrals outside of the Wingspan umbrella of agencies. Additionally, OHTP external partners wanted a way to track the number of referrals that were being sent their way from OHTP. The Referral and Linkage Form uses the Referral Agency Codebook, a database of organizations and nonprofits in Cuyahoga and Lorain County, to help staff identify external organizations and then track them once they are made. The OHTP Referral and Linkage Form is to be completed and turned in every time a staff makes a new referral in order to track what organizations youth are being referred to.