Referrals

Children In Need of Hugs, (CINOH),

Referrals

Many clients are referred to us by our community partners.

So if you have youth who would be in need of our services, just use the form below to let us know who they are.

I want to refer a youth:

Your information:

Full name:

Email address:

Telephone number:

Can we use your name?

Yes

No

Your Client's Information':

Full name:

Email address:

Telephone number:

Comments: