DSS Referral –

Refer a Child, Family, or Individual

Use this secure form to share referral information with Baptist Children’s Homes of North Carolina. Our team will review the details and direct the referral to the appropriate ministry.

Submit a Referral

Please complete both steps of the form. Required fields are marked with an asterisk. You may also upload a supporting document if one is available.

Important: This form is not monitored for emergencies. If someone is in immediate danger, call 911.

Questions before submitting? Call 1-800-476-3669 or email our team.