Required Information for Application to Timber Ridge School

Required Information & Application Process

Referral Application

Admission consideration to Timber Ridge School requires that you complete and return the Application Referral Packet. These forms are required by state licensing regulations and must be thoroughly completed before consideration of placement can be made. Once received, the completed application form initiates the Pre-placement Assessment (PPA) interview that determines whether the student meets requirements to be in the “least restrictive setting.” The completed application form is necessary to secure “informed consent” signatures in order to communicate with and receive additional information from external agencies to determine appropriateness for placement with Timber Ridge School.

The following documentation is required prior to final authorization for admission to our Timber Ridge School programs:

  • Certificate of Need (CON) signed and dated within 30 days of anticipated admission date for Enhanced Unit treatment
  • Child & Adolescent Needs & Strengths (CANS) report completed within 60 days of admission
  • Most recent psychological assessment to include Axis I diagnosis where applicable
  • Completed Tuberculosis test within 2 weeks of admission (unless admission is a bed to bed transfer from another approved facility who holds current TB documentation)
  • Copy of Academic Transcripts and most recent Individualized Education Plan (IEP)
  • Insurance verification (copy of current insurance card)
  • Current physical and immunization records (within the previous 6 months)
  • For any Virginia applications to our ASAM 3.5 Level Substance Abuse Program seeking ARTS, a signed referral from a physician enrolled with Virginia Medicaid is needed to include the NPI number.

Admission Packets

Depending on the specific service requested, below are additional forms for completion, including permission and medical forms:

** VA Medicaid eligible

It is preferred that you email admission referral packet and documentation to:

Or mail/fax to
P.O. Box 3160
Winchester, Virginia 22604
FAX: 540-888-4511

I enjoy working with Timber Ridge School! Not only do you attend the FAPT meetings in person with the client, but you also provide excellent summary and tracking data for the team to review.
— Mental Health Liaison

Information for Parents/Guardians

The link below contains pertinent information for parents and guardians regarding admission documents required, what items your son will need, and what items are prohibited at Timber Ridge School.

Preparing for Admissions Day


If you have any questions, please contact Admissions:

Adam Collis, M.S., Director of Admissions, at 540-888-9524, 877-877-3008 or

Vic Williams Assistant Director of Admissions, at 540-888-9532, 877-877-3010 or

Mail or FAX (FAX preferred) forms to:

P.O. Box 3160
Winchester, Virginia 22604
FAX: 1-540-888-4511