Make a Referral

General Referral Form

Please call Kristi House at (305) 547-6800 if you have a referral or with any questions you might have. Click the link below to download an electronically fillable version of our form.

Return the completed form: by fax (786-744-6653),  or by email ( For referrals specific to child sex trafficking / Project GOLD, email

Unaccompanied and Separated Children Referral Form

Kristi House provides therapy services to children and youth who have come to the U.S. unaccompanied from other countries. If you know of an eligible child, or for more information on the program, please complete the referral form below, and email the form to For more information on Proyecto Brazos Abiertos, see here.

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