Important Information 

Please review the information below before submitting an online referral to Center for Child & Family Services (CCFS). Accurate and complete information supports timely review and appropriate service coordination. 

CCFS Services 

CCFS provides community-based services to support children, youth, adults, and families. Services may include family support and stabilization, adult and youth mental health services, substance abuse services, behavioral and skill-building interventions, care coordination, parenting education, and violence prevention and intervention services. Eligibility and availability vary by program and funding source. 

Who May Submit a Referral 

Referrals may be submitted by parents or legal guardians, caregivers, schools, healthcare providers, government agencies, courts, law enforcement, social service professionals, and community partners. If program eligibility is unclear, referrals may still be submittedfor review. 

Review Process 

• Referrals are reviewed during normal business hours. 

• CCFS staff may contact the family or referral source for additional information. 

• Submission of a referral does not guarantee services. Determinations are based on eligibility, priority, and program capacity. 

Urgent Concerns 

This form is not monitored 24/7 and should not be used for emergencies or immediate safety concerns. For urgent situations, contact local emergency services (911) or an appropriate crisis response line (988). 

Required Information 

To avoid processing delays, please provide: 

• Client legal name and date of birth 

• Parent or legal guardian contact information (to include custody agreement) 

• Reason for referral and primary concerns 

• Relevant background or service history, if available 

Confidentiality 

Information submitted is confidential and shared only with authorized CCFS staff in accordance with applicable federal and state privacy regulations. Please limit sensitive information to what is necessary for referral review. 

Consent 

By submitting this referral, you confirm that you have authorization to share the information provided. Additional consents will be obtained from the referral source, parent or legal guardian as required. 

Technical Notes 

All required fields must be completed prior to submission. A confirmation message will appear once the referral is successfully submitted. For technical assistance, contact CCFS during normal business hours. 

Disclaimer 

Submission of a referral does not constitute acceptance into services or create an obligation for CCFS to provide services. CCFS reserves the right to determine program eligibility, service appropriateness, and prioritization based on program guidelines, funding requirements, and capacity. Services are voluntary unless otherwise required by court order or governing authority. 

Questions 

For questions regarding the referral process, please contact CCFS during normal business hours.