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Referral Templates for McKinney-Vento Liaisons

McKinney-Vento Liaisons are required to refer students and families to key services and supports. These supports include early education, health and mental health care, housing, and other appropriate supports. Our template referral lists are intended to help you streamline your referral process and/or provide information that may be needed in a sensitive manner. Please note that these forms don’t replace individualized assistance; they are meant to give you and your families a starting point and summary of local referrals.

First, download the Referrals Guide. Use it to fill one or more of the templates with local information.

  • General Referrals

  • Housing Referrals

  • Health Referrals

  • Youth Referrals

Referrals Guide


General Referrals


Housing Referrals


Health Referrals


Youth Referrals

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