CAP Referral Form

The Community Assessment Program (CAP) strives to keep youth at home and out of juvenile justice and human services systems by connecting families with supportive services to promote safe, healthy and happy kids. Young people receive early intervention screening and assessment to identify factors contributing to concerning behavior and factors mitigating risks. Referrals are accepted from parents and professionals.

To make a confidential referral to our Community Assessment Program, please use the digital form below. Please fill out the form and return to us by email to

Download school referral form.

Download law enforcement/court referral form.

Download guidelines to filling out the form.

If you have any questions about the form or our assessment program, please give us a call for a free phone consultation at 720-213-1320.