“...because every child deserves a happy childhood."

Referral for FSGC Services

Complete the information below. Be sure to click "Submit" to send your form to us. FSGC Admissions will contact the child’s parent/legal guardian to set up an appointment. (NOTE: An asterisk * indicates required information.)

NOTE: Family Service & Guidance Center will only contact the family if services have been discussed with them prior to the submission of this form.

Referrer Information

Client Information.

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Family Service & Guidance Center
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Did you know?

FSGC’s Families Supporting Recovery is a collaboration with the University of Kansas School of Social Welfare. IDDT treats teens with both mental health issues and substance use problems, addressing both at the same time. FSGC is the only mental health provider in the country that provides this innovative treatment.