REFERRALS FOR SERVICES
Comprehensive Perinatal Support (PSS) Services:
Please complete the fillable form below
Send in a secured email to
or fax 860-451-8902
Choose your agency to access the Referral Forms
(please follow HIPAA privacy guidelines when submitting referrals)
Prevention Education Services:
Funding for BSEB Services provided for:
DMHAS YAS clients are provided by a Grant from the CT Department of Public Health in collaboration with the Department of Mental Health and Addiction Services, Young Adult Services.
DCF WAF clients are provided by the Connecticut Department of Children & Families.
Community Pregnant Teens/Young Adults in New London County, Waterbury & Other Areas are provided by a Grant from the CT Dept. of Public Health.
Prevention Education are provided by the CT Department of Public Health and the state Personal Responsibility Education Program (PREP)