Birch Tree Communities generally only accepts referrals who are residents of the state of Arkansas and live with a diagnosis of Schizophrenia, Bipolar Disorder, and/or Schizoaffective Disorder. To obtain more information contact:

Sarah Testa, LCSW
Director of Admissions
Birch Tree Communities, Inc.
PO Box 1589
Benton, AR 72018
Phone: (501) 303-3109
Fax: (501) 631-3794
sarah.testa@birchtree.org

Judith Reginelli, BSW
Admissions & Marketing Associate
Birch Tree Communities, Inc.
PO Box 1589
Benton, AR 72018
Phone: (501) 303-3131
Fax: (501) 443-8588
judith.reginelli@birchtree.org

Pre-Admission Forms

Print and Complete the Printed Form in PDF Format

Part 1: Initial Referral Form

The first step in the referral process is to complete the initial referral form and submit to the admissions office to see if you or your loved one qualifies for acceptance into Birch Tree Communities. Please print off and fill out completely before turning into admissions, along with:

• Recent history and physical
• Psychological evaluation
• Medication list
• Labs
• Court order (if applicable)
• Guardianship documentation (if applicable)
• Progress notes
• Other relevant documentation.

Please send the completed referral packet and required documentation to sarah.testa@birchtree.org or fax to (501)631-3794.

Part 2: Follow-up Admission Packet

If your referral packet is accepted at Birch Tree Communities, the admissions office will send an additional packet that must be completed IN FULL by the current acting psychiatrist prior to admission.