What a referral actually is
A referral is when one provider formally recommends your child for care with another, usually your child's pediatrician sending a form to a behavioral health agency on your behalf.
A referral is not an appointment. It doesn't mean your child is in care. It's a request that starts a process, and the process takes time.
What silence usually means
If weeks go by and you hear nothing, it may mean the agency is short-staffed, your child is on a waitlist, the referral got stuck, or they do not have availability right now. The most practical next step is to keep following up and reach out to more than one agency so you have a better chance of getting connected to services.
What to do when things stall
Call the agency directly and ask to speak with intake. Say your child's name and when the referral was sent. Ask: "Do you have a record of the referral? Where are we in the process?"
If they don't have it, call your pediatrician and ask them to resend it.
If a provider can't take your child, move on quickly and contact other agencies. It often helps to reach out to several at once instead of waiting on one referral path.
Questions worth asking when you call
"Are you accepting new patients on Apple Health for children?"
"What's your current wait time for an intake assessment?"
"Do you have therapists who see kids my child's age?"
"If you're not taking new patients, can you recommend somewhere I should try?"