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, 305-547-6816, or email, Referrals specific to Child Sex Trafficking/Project GOLD should be sent to


General Referral Form – English




Immigrant 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 this referral form, or contact Kristi House’s Proyecto Brazos Abiertos Supervisor, Cedrin Vera. For more information on Proyecto Brazos Abiertos, see here