Professional Referral

Refer a Client to TTS

Complete this form to refer a client for any of our services — supervised visitation, safe exchange, therapeutic supervised visitation, parent preparation, or reunification therapy.

Before you begin: Please have the parent’s contact information available. Fields marked * are required. A member of the TTS clinical team will follow up within 2 business days.

Part 1 of 1

1 Referring Professional Information

2 Client / Parent Information

Has the parent been informed of this referral? (required)

3 Case Context

Level of contact being considered or ordered (required)

4 Reason for Referral

Check all that apply (required)

5 Documentation & Release

Which documentation do you need upon completion? Check all that apply.

6 Urgency & Scheduling

How soon is intake needed?

By submitting this form, you confirm the information above is accurate to the best of your knowledge. A member of the TTS clinical team will follow up within 2 business days. For urgent matters, contact TTS directly at (702) 485-1313.

Before you submit. What you send is stored securely and seen by our staff. It is shared with a referral source, a court or another party only as your consent, a release, a court order or the law allows. Confidentiality has limits: some of our staff are required by law to report suspected child abuse or neglect, and information may have to be disclosed when a court orders it or to prevent serious harm. This form and our email are not monitored for emergencies. If you or a child are in danger, call 911; for emotional crisis support, call or text 988. See our Privacy Policy and Terms & Conditions. We cannot guarantee any court outcome.

Your information is sent over an encrypted connection.