School Admissions Inquiry

To learn more about Green Chimneys’ special education or residential treatment program for your child, student or patient, please complete the form below.

For new student referrals, please send all documentation to admissions@greenchimneys.org

Thank you for your interest in Green Chimneys.


All information submitted within this form will be kept confidential.

We will respond as quickly as possible.

  • Child's Birthdate
  • Child's State of Residence