Referral Form

🌟 Have Medi-Cal in LA County?

You may qualify for no-cost mental health support

If you have active Medi-Cal in Los Angeles County, Horizon Community Mental Health can connect you with professional mental health support services β€” at no cost to you.
Our services are fully covered through the LA County Department of Mental Health (LACDMH).

βœ… What We Offer

  • In-home mental health support
  • Telehealth (online video sessions)
  • Office visits in Palmdale/Lancaster
  • No referral, copay, or out-of-pocket cost

πŸ’¬ We Can Help With

  • Anxiety, depression, and stress
  • Coping with loss or big life changes
  • Relationship or family challenges
  • Managing chronic illness and daily stressors
  • Building coping skills & resilience

πŸš€ How to Get Started

  1. Fill out the short form below β€” takes less than 1 minute
  2. We contact you within 24 hours by phone or text
  3. You get your secure client portal link to:
    • Sign forms online
    • Upload your Medi-Cal info
    • Schedule your first session

πŸ“± Prefer to Text?

Text β€œYES” to (661) 441-6568 and we’ll get you started right away.

πŸ“ Serving

Palmdale, Lancaster, Quartz Hill, Littlerock, Lake Los Angeles, and nearby communities.

πŸ“ž Call or text: (661) 441-6568
πŸ“§ Email: info@horizoncmh.com

➑ Fill out the Referral Form below to get started today.

Referral Form
Reason for Referral (Check All That Apply)
Is the client receiving services? Does the client have a case manager? Who is the referral Source: (Case manager, Doctor, Self or Other)
Preferred Session Type
Briefly describe any urgent concerns or additional details.
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