E-Referrals System

Need Help?

Refer yourself or someone else to a youth-friendly service near you. Get connected to SRHR, mental health, and specialized care services.

Available

Confidential

Health Centers

Service

E-Referral Form

Fill in your details to connect with youth-friendly services

Who are you referring?

Myself Someone else

Client Name

Age

Gender

District / Sub-county

Phone number (optional)

Preferred language

Referral Reason

SRHR Mental Health GBV Support Other

Select Health Center

Your Name

Your Role / Organization

Phone / Email

I confirm I have the referred person's consent to share this information.

Enter your referral ID or phone number to check the status of your referral