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 will be closed beginning December 12, 2022. We will reopen on January 17, 2022.

All requests received will be processed after January 17th.

If you have an emergency, please contact the Los Angeles Info Line @ 211.

Get in touch with us.

Los Angeles Office
3333 Wilshire Blvd., Suite 550
Los Angeles, CA 90010
Phone: 213.368.6010
Fax: 213.368.6016

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