Referral to the Family Counseling Center of Anderson

Thank you for your interest in our Family Counseling Center. Please complete the form below to make a referral.

Website inquiry form for Therapeutic Foster Care Program

Name of Caseworker*
First Last
Caseworker's Email Address*
Caseworker's Daytime Phone Number*
Name of Supervisor*
First Last
Supervisor's Email Address*
Supervisor's Daytime Phone Number*
Name of Client*
First Middle Last
Name of Guardian, if applicable*
First Last
Client/Guardian Phone Number*
Services Requested
Please select from the drop down menu. To select more than one, hold the CTRL button while clicking.
Description of Request
Please briefly share the reason(s) for this referral. If referring to STEAR or PACE Groups, please note any current or history of violence.

New Foundations Home for Children