Fairfax-Falls Church Community Services Board

CONTACT INFORMATION: Emergency - 703-573-5679 / Detox - 703-502-7000 (24/7)
703-383-8500 TTY 711
8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031
Daryl Washington
Executive Director

Making a referral to the CSB

Professionals/providers who would like to refer an individual to the CSB should complete and submit the online CSB Referral Form.

The CSB cannot release any information about individuals receiving services unless a signed Authorization to Disclose or Request Protected Health Information form (Spanish language version also available) is in place allowing that exchange of information.

Contact the CSB Entry and Referral call center at 703-383-8503 with questions.

Individuals seeking CSB services for mental health or substance disorder issues can learn about emergency services and accessing CSB services when it's not an emergency.

Looking for services for a family member with developmental (including intellectual) disabilities? To learn more about the application process and to schedule an appointment please call 703-324-4400 (TTY 711) to contact an Intake Support Coordinator.

Authorization to Disclose or Request Protected Health Information Form

The CSB cannot release any information about individuals receiving services unless a signed Authorization to Disclose or Request Protected Health Information form is in place allowing that exchange of information.

Individuals unable to complete the form online may fill out a printable Authorization to Disclose or Request Protected Health Information form (Spanish language version also available) and email to CSBEntryReferrals@fairfaxcounty.gov.


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