REFERRAL

Can you please answer the following questions:

• My child is currently suicidal or has been in the past 24 hours.
• My child is currently homicidal or has been in the past 24 hours. 
• My child is in active withdrawal from a substance or substances.
• I am seeking immediate placement.

If you answered NO to all the questions, please proceed. If you answered YES to any, your child may need services beyond what we offer.

Please call 911 or visit the nearest hospital for assistance.

If all your answers were NO, you may continue with your referral. This marks the beginning of your journey with Berean Children's Home.

After completing this form, please email it to Patsy Mann at bereanchildrenshome@gmail.com. Someone will reach out to you shortly.