IM SAFE CAC Referral Form

Referrals for forensic interviews are only accepted from Law Enforcement and the Department of Health and Human Services. If you are with one of these agencies, please fill out the form below to the best of your ability and we will contact you shortly with available dates and times.

If you need to report suspected child abuse or neglect, call DHHS Centralized Intake at  1-855-444-3911

Any questions, please contact the Intake Coordinator at, or (616) 225-7267. 

Note: If a CSC occurred within the past 120 hours, a SANE exam should be completed immediately. Contact the

YWCA (616-459-4681).