Make a Referral - Institute for Family Centered Services

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Make a Referral

IFCS Application for Services

To Make a Referral with Our Online Application Form:

Click on the link above that reads "IFCS Application for Services" and either save the Word form template to your computer and fill it out or fill out the form in your web browser.
Print the form with the data you have entered into it.
Sign the printed form, and fax it to the appropriate IFCS office in the list below

Florida
North Broward
(954) 977-9776 Fax

South Broward
(954) 316-4921 Fax

North Dade
(305) 823-8889 Fax

South Dade
(786) 573-2384 Fax

Maryland
Prince George's and Anne Arundel Counties
(301) 386-1046 Fax

Baltimore City, Baltimore, Howard and Harford Counties
(410) 298-9728 Fax

Montgomery County
(301) 721-9326 Fax

Washington, Allegany, Carrol and Frederick Counties
(301) 696-0727 Fax

Charles, St. Mary's and Calvert Counties
(301) 870-4315 Fax

North Carolina (East)
Central, North Carolina
(919) 419-9503 Fax

Triad
(336) 297-0062 Fax

Triangle
(919) 786-2591 Fax

Winston-Salem
(336) 397-1566 Fax

North Carolina (West)
Cleveland and Rutherford Counties
(704) 864-9791 Fax

Gaston County
(704) 864-9791 Fax

Mecklenburg and Lincoln Counties
(704) 864-9791 Fax

Virginia
Northern Virginia
(703) 237-5918 Fax

Peninsula and Middle Peninsula / Northern Neck Region
(757) 722-7058 Fax

Richmond / Central Virginia
(804) 290-0359 Fax

Southside / Hampton Roads
(757) 494-1979 Fax