Reach Wellness Team

REACH has a collaborative multi-agency Wellness team that supports the integration of health & wellness, social justice, and youth leadership into all of our programs and services.  Through our healing, capacity, and action framework, youth counselors participate in programming, build relationships, encourage skill building, and provide healthy mentorship with young people individually or in groups.  Wellness team members also provide wellness consultation to programs and partners and participate in our response and disciplinary interventions at REACH to bring a restorative, generative, and youth-focused lens to ensure young people are learning and growing from every challenge and success.


For Referrals

This referral form is used for: youth with mental health or clinical case management needs; youth who may need support and guidance with social-emotional development, basic life skills, goals or decision making; youth who have immediate needs or would benefit from coordination of care.

Referrers may be: youth, parents/guardians, schools and community providers, REACH staff & program partners, probation, friends of youth, or any other concerned individual.


The referral form must be used for all Health and Wellness referrals (urgent or non-urgent) and for all probation/law enforcement/system involved referrals. Forms will be accepted in electronic and hard copy format.

Electronic Submission

Referrals can be submitted electronically. Save completed form as a PDF and send as an attachment to All electronically submitted referrals should be sent to this confidential email.

Referral Form


Hard Copy Submission

Walk in referral submissions can be made at 16335 E. 14th St., San Leandro, CA 94578 at the Front Desk of the REACH Ashland Youth Center. We have a confidential lox box where this referral can be securely stored.

Mail/ Fax submissions

You may fax referral form attention to Santi Soumpholphakdy, Coordination of Care Lead along with a cover sheet to fax: (510) 481-4527. You may also mail in referrals to 16335 E. 14th St., San Leandro, CA 94578 attention Santi Soumpholphakdy.

Referrals will be assigned weekly at the Health and Wellness Team meeting or by the Health and Wellness Director or Lead Case Manager. Urgent referrals may be assigned immediately. .Questions may be directed to


Fuente Wellness Center

Inside REACH, there is the Fuente Wellness Center, operated by La Clínica de la Raza, which provides primary medical services, individual and community health education services, dental services and behavioral health services through an integrated services model to youth ages 11-24. Health & Wellness services will include a mentorship/education/career pathway for youth exploring careers in the field. All programs and services will be offered at no cost to youth.


Registration & Insurance Enrollment

Mondays – Friday   10:00am-6:00 pm
Yuliana Valadez and Yesi Benavides will register youth for Fuente services as well as schedule any needed appointments. Insurance enrollment appointments are available from 11-1pm daily.


Medical & Health Ed Appointments

Mondays-Fridays   2:00pm-6:00pm
Medical and Health Ed services include but are not limited to: sports physicals, regular physicals, TB testing, treatment of illness, Immunizations, Vision referrals, Asthma Management, Nutrition & Fitness Consultation, First Aid, Acne treatment, Confidential STI Screening/Prevention Counseling & Treatment, Pregnancy Testing/Options Counseling, Birth Control, Condoms.


Dental Services

Mondays-Fridays   2:00pm – 6:00 pm
Oral screenings, Dental Cleaning, Dental Sealants, Fillings, Extractions (non-surgical only). Dental Hygiene Demonstration & Counseling, Referrals for Orthodonture/Braces, Wisdom Tooth Extraction (non-surgical only).



Mondays-Friday   2:00pm – 6:00 pm
Individual and group counseling, Basic Needs Assistance, Referral for Drug & Alcohol Treatment, Relationship Counseling, Family Counseling. General Wellness

Parent Consent Form
Medical History Form
REACH Referral Form