Client Referral Form

NOTE: If you are referring through our Member Assistance Program (MAP), please refer using this form or email the MAP program coordinator at assistance@wlcfs.org.

 

All other referents, please use the form below.

 

Client Referral Form

Thank you for your referral. Christian Family Solutions works collaboratively with referents so the client experiences consistent, coordinated care. Please provide the referral information on the secure form below and a member of our intake team will promptly follow up with both you and the referred client. If you have questions, please call us at 800.438.1772.