Make a Referral
If you are wanting to submit a referral for either Child-Focused Recruitment or Family Preservation Services, see below for the proper forms.
What Type Of Referral?
CHS in partnership with NCDHHS serves all 100 counties across North Carolina within the Child-Focused Recruitment Program. To refer a youth for Child-Focused Recruitment services, please download and complete the referral form below.
Intensive Family Preservation Services
Please download and complete the referral form. Fax the completed form to the local region listed below:
Cherokee, Clay, Graham, Haywood, Jackson, Macon, Swain, Transylvania, Eastern Band Cherokee Indians:
Avery, Buncombe, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Yancey:
Alexander, Alleghany, Ashe, Burke, Caldwell, Catawba, Watauga, Wilkes:
Cleveland, Lincoln, Mecklenburg, Stanly:
Gaston, Cabarrus, Union:
Davidson, Davie, Forsyth, Iredell, Rowan, Rockingham, Stokes, Surry, Yadkin:
Alamance, Caswell, Chatham, Guilford, Orange, Person, Randolph:
Durham, Edgecombe, Nash, Wilson, Wayne:
Franklin, Granville, Johnston, Vance, Wake, Warren:
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