Make a Referral

When appropriate, George Mark Children's House also offers perinatal counseling.

For all types of care

For perinatal counseling or to request admittance for a child or young adult please contact the George Mark Children's House Admissions office to determine eligibility and bed availability: email or call us at 510-346-1285. If you contact us via email, please complete the Clinical Contact Form and include it in your email. You may also fax it to 510-346-4620.

Download Clinical Contact Form

For Respite patients only

If a child or young adult is accepted for admittance to George Mark Children's House, we will ask you to complete the Doctor's Admission Order to the best of your ability prior to your house tour, and email it to or fax it to 510-346-4620. We will work with you to complete the form prior to the child or young adult's stay.

Download Doctor's Admission Order

Please do not make any nonrefundable travel plans before you receive the George Mark Children’s House Admission Confirmation in writing, confirming your child’s admission date.

George Mark Children’s House reserves the right to change guidelines at any time and without notice.

Need help filling out the forms?

Contact us

Make a referral by phone

Phone: 510-346-1285

Hacer una referencia por teléfono

Phone: 510-346-1285

We are dedicated

How we help children