Referral Source Information
When making a referral to Sequoyah, please include the following documents:
- Psychological Evaluation (including Forensic evaluations if done)
- Chronological Offense Records
- Judgment and Disposition orders
- Educational Assessments (including transcripts, IEPs, psycho educational assessments, speech and language evaluations)
- Medication information
- JJD Baseline assessments
- Information from previous placements/hospitalizations
- Medicaid or insurance information
- Immunization record
- A cover letter describing why this adolescent is being referred at this time
All referrals need to include: current location of the referee, custody, parents’ address and phone number, name and phone number of the person making referral, JPPO name and number.


