Forever Found Youth Referral
Eligibility Requirements:
- Youth must reside within Ventura County.
- Youth must be either a victim of human trafficking (labor trafficking or commercial sexual exploitation) or at high risk for human trafficking.
- Youth must be willing to participate in programs and services. If a minor, the client’s parent or guardian must also be willing for the client to participate in programs and services.

We ask for the following information in order to best serve young people and to keep everyone safe. If you are unable or unwilling to share any particular pieces of information, please type "unknown" or "confidential." We may be in contact to ask clarifying questions.

Today's Date *
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Referring Person (Your Name) *
Your answer
Referring Person's Email *
Your answer
Referring Person's Phone Number *
Your answer
Referring Person's Organization/Relationship to Youth *
Your answer
Which do you feel would be the best programs for this youth?
Youth's Name *
Your answer
Youth's Nickname
Your answer
Youth's Birthdate (If unknown, type age) *
Your answer
Youth's County of Origin *
Your answer
Youth's Address *
Your answer
Youth's Phone Number *
Your answer
Youth's Email
Your answer
Who else lives at the youth's address? *
Your answer
Are there any safety risks at the residence? *
Your answer
Youth's Gender *
Your answer
Youth's Sexual Orientation *
Your answer
Youth's Ethnicity *
Your answer
Youth's Primary Language *
Your answer
Youth's Religion or Spirituality *
Your answer
Does the youth have any children? *
What is the best method of communication with the youth? *
Your answer
Who has legal custody of the youth? *
Parent(s) or Guardian(s) (If Applicable) *
Your answer
Parent(s) or Guardian's Phone Number(s) *
Your answer
Parent(s) or Guardian's Address(es) *
Your answer
Which of the following has the youth experienced? *
Required
Brief history of the youth: *
Your answer
Does the youth experience any functional limitations (for example, trouble walking, learning disabilities)? If so, what?
Your answer
What is the youth's education level?
Your answer
What are the youth's strengths? *
Your answer
What are the youth's goals?
Your answer
What are the safety concerns FOR this youth (concerns that the youth may harm themselves or other may harm this youth)? *
Your answer
What are the safety concerns FROM this youth (concerns about youth's behavior towards others)? *
Your answer
Which of the following is the youth experiencing? *
Required
What treatment and services is the youth currently receiving? *
Your answer
Does the youth have any allergies, injuries, or medical concerns? If so, what? *
Your answer
Is the youth taking any medication? If so, what? *
Your answer
Does the youth regularly use substances? If so, what? *
Your answer
Who are the positive support people in this youth's life? (Professional and nonprofessional) *
Your answer
Please share any other helpful information:
Your answer
How did you hear about Forever Found? *
Your answer
I understand that the information I have provided will be shared as appropriate with Forever Found team who are directly involved with the care of the client. (Please type your name) *
Your answer
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