Thank you for making a referral through your organization’s assistance program. This referral site is intended for an organization’s referral agent (pastor, principal, dean, human resources director). Please enter the information requested. If there is a concern about the individual’s safety, please contact your local hospital or speak with an on-call crisis counselor by calling 800.438.1772, option 1.
What security measures does WLCFS-Christian Family Solutions take?
At WLCFS-Christian Family Solutions, the privacy and the security of your form data is of utmost importance to us. Please refer to our privacy page for a full list of measures that we take to ensure that your data is safe.
Information About the Referring Organization
If the member has discussed ending his/her life please consider the safety of the member and whether immediate assistance through a local hospital or emergency facility is needed.