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Shoreview Building Christine Wilson, Division Director 101 S. Shore Road Northfield, N.J. 08225 1-888-426-9243 (in-county) (609) 645-5965 (out-of-county)
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Questions/Comments? Email the Public Information Officer or use our contact form.
Complete the form below. If you would prefer you can still use the paper form which is posted in PDF format on the bottom right-hand side of this page.
Print, complete, and mail or fax version - Juvenile/Family Crisis Unit Referral Form
Referral Type: General Unit Referral
Agency became aware of and/or resolved a juvenile family crisis situation in the community on Date:
Agency has advised the parent or guardian to contact the Juvenile Family Crisis Intervention Unit for family counseling to avoid future crisis.
Check off any of the following problems which are being experienced by the family:
Serious conflicts between parent/guardian/and teen.
Repeated disregard of parental authority by teen.
Parent/guardian has threatened to put teen out of the house.
The teen has a history of running away
Repeated pattern of unexcused absence from school.
SEXTING or Disorderly Persons offense or PDP offense etc… for diversion
The family was notified of this referral: Yes No
Referral Sent: 3/29/2024