LCFS Referral Forms
If you are a social worker or other professional making a referral for general therapeutic services, please secure a signed Release of Information form from the client’s parent or legal guardian to submit along with the referral form. If you have any questions, please feel free to contact us at (320) 983-2335.
- Lighthouse Child & Family Services Referral Form – printable
- Online Lighthouse Child & Family Services Referral Form
- Release of Information
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.