Family Advocate Referral

  • Our Family Advocate is able to provide individualized support for children impacted by addiction. This includes:
    • Helping children and caregivers navigate services and systems
    • Providing education about substance use disorders and recovery
    • Advocating for the child with their caregivers, educators, other providers, etc.
    • Working with the child to develop an individualized plan
    • Equipping the family with resources and activities to build/re-build healthy relationships
    Family Advocate services are available in English and Spanish

    Who:
    Any child 0-18 impacted by familial substance use disorder

    Where:
    Telehealth or at their home

    How:
    Complete the form below

  • Child's Information

  • Child
  • Child
    Date Format: MM slash DD slash YYYY
  • Parent/Caregiver Information

  • Parent/Caregiver
  • Parent/Caregiver
    Date Format: MM slash DD slash YYYY
  • Referral Source

  • Referral Source
  • Referral Source
  • Reason for Referral - select all that apply