Professional Referrals

Medical Legal Partnership Referral Form

A form for medical personnel participants from partnership clinics (e.g. CHLA, LAC+USC, Harbor, MLK) requesting assistance from the Alliance.

Submitting a referral to the Alliance for Children’s Rights does not guarantee services or representation.

Please assume your case has not been accepted for assistance until you receive affirmative confirmation from the Alliance that your case has been accepted. Missing information will delay the investigation. Our privacy policy can be viewed here.

Please note the Intake Department is open Monday thru Thursday 9:30 am to 12:30pm and reopens at 1:30 pm to 4:30pm;

We are also open on Friday mornings from 9:30 to 12:30pm. 


Get in touch with us.

Los Angeles Office
3333 Wilshire Blvd., Suite 550
Los Angeles, CA 90010
Phone: 213.368.6010
Fax: 213.908.1980

Sacramento Office
1418 20th Street, Suite 100
Sacramento, CA 95811
916.930.0275