Do you know a child who could use People Places’ help?

Refer a Child

Contact Info

Contact information for the person referring a child to People Places.

Client Info

Custodian Information

Placement History

Strengths

Education

Behaviors

List in order of severity
Please check any that apply

Health

Diagnosis

Parents

Parents (continued)

Siblings

Expected Birth Family Visitation

Download Our Referral Form

To Learn More:

Contact us at the location nearest to you!

Staunton: (540) 885-8841 | Charlottesville: (434) 979-0335 | Harrisonburg: (540) 437-1857