Waterbury Youth Services Supervised Visitation Form

In order to schedule any Supervised Visits, a referral form is required. Please fill out the document below with all necessary information. Once you have completed the form someone from Waterbury Youth Services will contact you to schedule an intake. 

Shenquaya Clements can be reached at 203-573-0264 or sclements@waterburyyouthservices.org

Please allow 5-7 business days for someone to reach back out to you.


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