Referrals

Start a Referral with Us

At New Light Services, we make it simple for families and professionals to connect children with the care they deserve. Referrals can be submitted online using the form below, and our team will follow up to guide you through the process. If you’d prefer direct assistance, you can always reach us at newlightservicesinc@gmail.com

Child's First Name

Child's Last Name

Child's Age

Child Resides With

Parent/Guardian Aware of This Referral?

Referrer’s Full Name

Referrer’s Contact

Referrer’s Email

Additional Notes or Concerns

Got Questions? Find the Answers You’re Looking For.

We’re here to listen and help. Whether you have questions about our services, need guidance, or are ready to get started, our team is just a message away.