Let us answer your questions.

For further information about Bridges and our programs, please contact
Director Stacy Ertle at stacy@bridgesinc.info or by calling (505) 379-1550.

Parents and professionals, please complete the following form to receive a complimentary phone consultation.

* Denotes required field

Your Name*
Your Address*
Your Phone*
Your Email*
Person Being Referred*
His/Her Date of Birth*
His/Her Diagnosis*
Your Relationship to Person Being Referred*

If you are a professional, please provide the following information regarding the child's parents.

Parents' Names

Parents' Address

Parents' Phone

Parents' Email

DD Waiver*Yes No
Medicaid*Yes No
TriWest*Yes No
Private Insurance (list company)*
Reason for Referral*

Bridges, Inc. | Phone: (505) 379-1550 | Fax: (800) 714-4705