Community Partner Referrals

Community Partner Referral Form

Valley Crisis Center aims to provide services to the members of our community through various referrals. This form is for agencies within our community to use when referring people to us for services. By completing this form, you give us the basic information we need to help clients referred to our program.

We ask that you please be mindful of who you refer to our agency as we can only provide services to people affected by intimate partner violence, sexual assault, and human trafficking. If you are referring a client to us, for the safety of the client please make a note that their phone number is safe to call.

If you would like to refer your client to seek one of the below services, please complete this form and fax it to us at (209) 725 – 7908, mail it to 1960 P Street, Merced, CA 95340, or drop it off at one of our locations.

Peer Counseling

Support Groups

Assistance in Obtaining a Restraining Order

Emergency Safe Housing

Transitional Housing