Email Referral Form

Email Referral Form

Email Referral Form

Family*

Referral Source*

Treatment*

Please advise of any of the following issues

Rules

Please be aware, and make families aware, of the following rules regarding stays at RMH-Dallas:

1)  All guests over 18 years of age will be required to show acceptable, current photo ID to stay at RMHD.
2)  Only family members directly involved in the care of the child may stay at RMHD.
3)  Rooms are limited to a maximum of five people, regardless if the guests are adult or children.

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