Online Referral

This online referral is a request for an intake. The referring agencies can complete this to begin the intake process. The intake coordinator will contact you within 1-2 business days. If this is an immediate need please contact our office at

(803)757-1570 

Peeping

Only complete this form if you represent a law enforcement agency, Department of Social Services, or a military installation. 

Type of Referral Agency
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