Who can make a referral?

Community partners, such as schools, mental health providers, health care providers, law enforcement, court staff, caregivers and/or family members can make a referral.

How to make a referral?

There are three different ways to refer a child who has lost a parent to intimate partner homicide:

  • Call 602-496-1327 to speak with an ACASI team member or e-mail
  • Complete the referral form
  • Give our contact information directly to the child’s caregiver

This system is secure. ACASI staff will not share personal information with anyone outside the ACASI team without proper releases. Please note: we encourage referral sources to ensure they comply with all relevant confidentiality protections prior to making a referral.

What happens next?

An ACASI Case Management Coordinator/Advocate will contact you. If you have questions in the meantime, please call us at 602-496-1327 or email us at

Referral form