Referral Forms
- Client Referral Form – Fillable/Printable PDF
- Client Referral Form – Online Submission
- Release of Information
If you are a social worker or other professional making a referral for general therapeutic services, you must secure a signed Release of Information (ROI) from the client (or client’s parent/guardian) before LCFS is able to begin the referral process.
Intake Packets
Important – Email correspondence is not secure. Given HIPAA privacy laws we ask that you please print the referral form and fax it to our offices at: (651) 342-8029. Thank You.
