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KidsFirst Services Request Form

A variety of free and low cost programs are available to qualifying individuals through KidsFirst. 

Please complete the form below and click submit at the bottom of this page

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If making a referral for someone other than yourself, please complete this section so that you may be contacted

REQUIRED, PLEASE COMPLETE:

Enter $$$ Amount

FOR MDIC/DA's OFFICE ONLY

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Please note that the service request form cannot be successfully submitted until all noted areas with a red asterisk (*) are completed.

Thank you for submitting your service request form. A KidsFirst team member will receive your request within one business day and will be in contact with you or the individual you referred within 3-5 business days. Please contact us at kidsfirst@kidsfirstnow.org or (916) 774-6802 if you have any questions. If you or your child is experiencing a mental health emergency please call 9-1-1 or the Placer County Adult Crisis & Intake 24-hour line at (916) 787-8860 or the Placer County Children’s 24-hour mental health crisis line at (916) 872-6549. Additional community resource information can also be found by calling 2-1-1 or visiting: https://211connectingpoint.org/placer-county/. Additionally, The Homeless Resource Helpline is 1-833-3PLACER

KidsFirst Counseling & Family Resource Centers

We are a non-profit, community-based organization operating counseling and family resource centers which empower, educate and strengthen families through prevention, early detection, intervention and treatment programs. All services are free, confidential & available in English & Spanish.

  • Call Us at (916) 774-6802
  • kidsfirst@kidsfirstnow.org

KidsFirst
Roseville

124 Main Street
Roseville, CA 95678
Tel: (916) 774-6802
Fax: (916) 774-2685

Office Hours:
Monday to Friday
9:00 a.m. to 5 p.m.

KidsFirst
Auburn

11960 Heritage Oaks Place, Suite 3
Auburn, CA 95603
Tel: (530) 887-3536
Fax: (530) 887-3856

Office Hours:
Monday to Friday
9:00 a.m. to 5 p.m.

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