Choices 101 Referral Form

Safe Harbor Youth and Young Adult Program Ages 12-24
Email Referrals to: youth@mnswcc.org
Call 1-800-376-4311
Youth text line 1-218-666-8336
Fax Line: 507-372-4311

Please complete the Youth Referral Form below or download and return the Youth Referral/Parent Permission Form (PDF).