Los Alamos JJAB 

Providing Youth and their Families with Programs and Services 

Referral Form for Providers

This form may be completed by authorized providers to refer clients to the JJAB Resource Specialist Program.  All other service referrals or inquiries should be sent through our online contact form.  Please note, some business IT systems may not allow access to the platform used for our referral forms.  If you have problems accessing or submitting a form please contact us.

The Resource Specialist you are working with may ask you to complete the following client paperwork: