I am an educator and want to refer a student.

Please enable JavaScript in your browser to complete this form.
To refer a student to SCCB for services, please provide the following information.
Referrer Information:
Person being referred:
Please note: There are specific eligibility requirements that a person must meet to receive services. A SCCB counselor will discuss these requirements with the person referred. If you would like to learn more about eligibility requirements, please let us know in the comments.