Contact SWCC

24 Hour SAFE Line:

Youth Text Line:

​​Worthington:

​​Pipestone:

​​Luverne:

Windom:

Jackson:

800.376.4311​

218.666.8336

507.376.4311

507.825.5688

507.283.9917

507.831.2244

507.800.1260

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Southwest Crisis Center © 2018 | Proudly Crafted by CLEVER GIRL MEDIA

SWCC Youth Program Referral Form

for youth ages 12-24 years old

Youth Information

Has parent/guardian given permission?
Is attendance verification needed?
Is this court ordered?

Referring Agency Information

Would you like us to check in with you before contacting youth?

Primary goals to be addressed by G.R.A.C.E. program advocate:

As it relates to any of the following categories (relationship violence awareness, sexual violence awareness, and/or family violence or abuse). Please choose as many fields as applies.

Information and Increase Knowledge
Personal Advocacy
Emotional Support and Safety Services