How to Refer to Us

CITRC may receive referrals from sources including but not limited to hospitals, local/federal prosecutorial offices, local/federal law enforcement agencies, traditional victim serving agencies and other mental health agencies.

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For your convenience, referral forms are available for download below. The referring agent may complete the form and submit to CITRC at ciowatrc@gmail.com or contact staff and he/she will complete the referral information. 

 

 

 

Monday - Friday:  8:00am - 4:30pm Call the CITRC Administrative Office at 515.244.5372

Evenings and weekends:  Call 515.644.2232 or submit via email at ciowatrc@gmail.com

 

 

Referrals are appropriate if the person(s):

 

Is ≥ 18 years of age

Is a resident of Polk, Marion, Story, Jasper, Warren, Madison, Dallas, Marshall, and Boone Counties in Iowa

​Is a victim of a violent crime within the last three (3) years, including but not limited to:​

Homicide

Human Trafficking

Sexual Assault, Domestic Assault or Physical Assault 

​Is Uninsured or Underinsured

Has circumstances that create substantial barriers to accessing mental health services

Is not already receiving mental health services