Referral for Foster Care

Inquiries and referrals may be made to LSS Foster Care Services. An application and collateral information will be reviewed. A pre-placement interview may be conducted with the youth and family. A youth’s placement is based on the program’s ability to help the youth and family meet their needs. For inquires or to make a referral please contact:

Hayley VanDenBrink, Manager
LSS Foster Care Services
605-221-2346
Hayley.VanDenBrink@LssSD.org

Referral

The referral provides information to determine if a child meets the criteria for care. Please submit a completed referral form below. An LSS representative will contact you as soon as possible to continue the application process.

Please complete the following information to refer a child to LSS Foster Care Services.

Client Information:

Age (Required)

Gender

male
female

Desired Placement Date (Required)

Referred By:

Your Name (Required)

Organization (Required)

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Relationship To The Child (Required)

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone Number (Required)

Fax Number

Email Address (Required)

Questions

Comments

Preferred Response

Email
Phone
Mail