• Referral Form For JFS Desert Services

    Please use this form when the client is interested in Counseling and/or Case Management services. JFS admissions personnel will contact the client directly to start the intake process. Please note that your referral does not guarantee the provision of JFS services, and Counseling clients will be scheduled for an assessment based on therapists' availability.
  • Referring Agency Information

    *=required field
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  • Client Information

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