Services Referral Form

GEMS provides a spectrum of continuous and comprehensive services to address the needs of commercially sexually exploited girls and young women. Commercial sexual exploitation is intrinsically linked to racism, poverty, gender–based violence, and the criminalization of youth. All these factors must be an integral part of any discussion, advocacy work, or direct service programming that involves sexual exploitation. All of GEMS programs are based on our philosophy that each girl and young woman we work with is worthy, deserving, and needs support and services to treat the trauma and violence she has experienced.

To refer your client to GEMS please fill out the form below. Please DO NOT make this referral if client is unaware of the referral and if she is unaware of the specific services that GEMS provides. You will be notified if the referral is accepted or not. Staff will contact you regarding next steps and initial appointments.

Referral Form
  1. (required)
  2. (required)
  3. Living Arrangements
  4. If so, what form(s) of sexual exploitation?
  5. If so, what form(s)?