Referral Form
CF! is an evidence based cognitive behavioral, support group model written for families in which one or both parents have a serious problem with alcohol or other drugs. Celebrating Families!™ works with every member of the family, from ages 3 through adult, to strengthen recovery from alcohol and/or other drugs, break the cycle of addiction, and increase successful family reunification. Celebrating Families!™ fosters the development of safe, healthy, fulfilled, and addiction-free individuals and families by increasing resiliency factors and decreasing risk factors while incorporating addiction recovery concepts with healthy family living skills.

If you yourself are interested, or if you represent an organization who has identified a family which you would like to refer for the upcoming program, please complete this form and someone will reach out to the family and send you an email to confirm scheduling.
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Parent Name 1 *
Parent Name 2 (if participating in program)
Participant's Phone Number *
Participant's Address *
Referral Agency *
Referral Agency Contact Name and Email Address *
Children's First Names & Ages. Please Be Sure to Include Ages for Each Child for Group Placement. *
Additional Comments
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