Exchange Club Center for the Prevention of Child Abuse of CT, Inc

Parent Support Services

How To Make A Referral

The Triple P REFERRAL FORM can be submitted by organizations or individuals at any time. Referrals may be submitted via fax, email or in person. Please fill out all questions that pertain to you and your family.  Questions that do not pertain to you or your family can be indicated by writing N/A after the question.  All families currently involved with the Department of Children and Families (DCF) must complete this process through their DCF workers. Families without DCF involvement will not be charged for Triple P services. If we are unable to service your family immediately, your name will be placed on a waiting-list and we will contact you as soon as there is a case opening.

Triple P Referral for fax:
Triple P Referral for email:
Please send email submission to with “Triple P Referral” in the subject line.