The Bridge Project
in PA

Online Mental Health Services for Children and Youth Experiencing Homelessness

This page is for school homeless liaisons to make a referral to Move Forward Counseling, LLC.

How to Make a Referral to The Bridge Project in PA

The following two forms must be submitted before scheduling an appointment.

Please fill out and submit the following referral form below. For help with the form or technical issues, please write to info@moveforwardpa.com.
Please download and complete the Referral Intake Form with the necessary information.

Note on Age

If the client is under 14, a parent or legal guardian must complete and sign the intake forms.
If the client is 14 or older, they may sign the intake forms themselves.

Where to Submit Forms

Once the referral (below) and intake forms are both completed, please email them to info@moveforwardpa.com.

Please reach out with any questions to 717-462-7003 option 1. There might be additional forms to sign depending on who the client schedules with. Thank you for helping us ensure students can be placed with a therapist as quickly as possible.

Liaison Information

School Homeless Liaison Name

Liaison Email Address

Liaison Phone Number

Phone Extension

District/School Entity Name

Student Information

Student Name

Student Age

Student Grade (in or completed thru)

Student Email Address

Student Phone Number

Parent or Guardian Name

Parent or Guardian Email Address

Parent or Guardian Phone Number

Acknowledgement

Yes, our school will make reasonable accommodations for the student to attend appointments during the school day.

Reason for Therapy Referral

Learn more about The Bridge Project in PA Referral Process.

Learn more about the Pennsylvania ECYEH The Bridge Project in PA.

Podcasts

Apple Podcasts: Episode 16 – Introducing The Bridge Project in PA: Online Mental Health Services for Children and Youth Experiencing Homelessness titled “I Will Be Your Voice”
- In partnership with Move Forward Counseling and eLuma, The Bridge Project in PA facilitates FREE access to mental health services for PA children and youth experiencing homelessness. Learn the benefits of teletherapy; how schools, students, and families access services; how the program is addressing technological challenges; and the impact of mental health on academic achievement.
- The Podcast also tackles broader challenges school districts face, such as absenteeism and behavioral needs, and how virtual mental health support can enhance traditional in-person approaches. Discover the critical role of parents/guardians in the teletherapy process and the collaborative efforts between schools and teletherapy providers.
- Finally, the podcast emphasizes the importance of student engagement and self-advocacy and highlight the seamless referral processes of The Bridge Project in PA and the ongoing mission to extend support to all students in need. The Bridge Project in PA is part of Pennsylvania’s American Rescue Plan Homeless Children and Youth (ARP-HCY) Program and is available for a limited time.
- The Podcast features Valerie McNicholl, LCSW and Chief Operating Officer at Move Forward Counseling.