Referrals to Don Guanella Center for services must come through a DMR Service Coordinator. 

Referral forms have been updated as of August 2006:

• The new three-page Don Guanella Center Initial Referral packet for an individual or the Long Form for submission can be downloaded and submitted by mail to:



Trish Sauer
Don Guanella Center
37 Nichols Street
Chelsea, MA  02150


• Please note that the final four (4) forms in the Long Form packet – numbered P1-P4 – need to be filled out and signed by the individual’s physician and also P1 and P2 need to be signed by the individual’s guardian in order to be complete.  DGC needs to receive these forms (P1-P4) by fax (617-889-3363) or in the original hard copy.               

Download the forms by clicking on the links below:

Initial Referral Packet

Long Form (Intake Packet)

Bill of Rights

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